LISA J WASEMILLER-SMITH (NPI# 1417954504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954504 |
| Entity Type | Individual |
| Full Name | LISA J WASEMILLER-SMITH |
| Credential | M.D. |
| Practice Address |
11200 N Portland Ave Oklahoma City OK 73120-5045 |
| Practice Telephone | 4059361100 |
| Practice Fax Number | 4059361122 |
| Mailing Telephone | 4059361100 |
| Mailing Fax Number | 4059361122 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2008-05-15 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD13137 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100824630A | 05 | |
| OK | 100824630C | 05 |
| Street Address |
11200 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659912855 | Elizabeth Ann Bennett | Family Medicine | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2019-09-30 |
| 1487197232 | Cody Blackmon | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-11-28 |
| 1467906305 | Alisha Wilke | Nurse Practitioner | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-08-09 |
| 1902270358 | Melissa Daree Willman | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-11-23 |
| 1710365390 | Ian Gray | Anesthesiology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-05-14 |
| 1902245988 | Alicia J Jackson | Massage Therapist | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2013-06-23 |
| 1952650400 | Regina Lynn Webber | Nurse Practitioner | 11200 N Portland Ave, 2nd Floor, Oklahoma City, OK 73120-5045 | 2012-08-30 |
| 1972885044 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-09-15 |
| 1720375363 | Lacy Parker | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-07-04 |
| 1811295108 | Lakeside Women's Center of Oklahoma City, LLC | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1710320627 | Hugh Christopher Gardner Nadeau | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2013-04-10 |
| 1649613688 | Katherine Ann Smith | Obstetrics & Gynecology | 825 Ne 10th St # 5d, Oklahoma City, OK 73104-5417 | 2013-04-09 |
| 1356602080 | Marta Maxted | Obstetrics & Gynecology | 800 Sl Young Blvd, Aat 2475, Oklahoma City, OK 73104 | 2012-05-29 |
| 1104190479 | Philip J Maguire | Obstetrics & Gynecology | 1124 Nw 50th St, Oklahoma City, OK 73118-4402 | 2012-03-02 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on LISA J WASEMILLER-SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.