LISA A WIRTH, MD LLC (NPI# 1437698917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437698917 |
| Entity Type | Organization |
| Organization Name | LISA A WIRTH, MD LLC |
| Other Organization Name | LISA A WIRTH, MD |
| Practice Address |
500 Spring St Se Suite 201 Gainesville GA 30501-3773 |
| Practice Telephone | 7705352497 |
| Practice Fax Number | 7705352498 |
| Mailing Telephone | 7705352497 |
| Mailing Fax Number | 7705352498 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | MRS. JANEL MCDANIEL (BUISNESS OFFICE) |
| Authorized Official Telephone | 7705352497 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | LISA A WIRTH MD LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
41034 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000677795C | 05 |
| Other Name | Type Code |
|---|---|
| LISA A WIRTH, MD | Doing Business As Name - Organization |
| Street Address |
500 SPRING ST SE SUITE 201 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992776124 | Premeir Hospice of Georgia, Inc. | Hospice Care, Community Based | 500 Spring St Se, Suite 204, Gainesville, GA 30501-3773 | 2006-01-27 |
| 1740889229 | Leah Renee Phillips | Physical Therapist | 500 Spring St Se, Gainesville, GA 30501-3773 | 2020-10-26 |
| 1184282428 | Emily R Young | Speech-Language Pathologist | 500 Spring St Se, Gainesville, GA 30501-3773 | 2019-06-02 |
| 1821537481 | Julie O Watson | Physical Therapist | 500 Spring St Se, Suite 101, Gainesville, GA 30501-3773 | 2017-02-15 |
| 1033359997 | Lisa A. Wirth, Md LLC | Psychiatry & Neurology | 500 Spring St Se, Suite 201, Gainesville, GA 30501-3773 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662087 | Gainsville Allergy, Ent and Plastic Surgery | Clinic/Center | 1902 Hospital Blvd Ste C, Gainesville, TX 76240-2008 | 2015-10-27 |
| 1326256470 | John W Tyrone Md Pllc | Clinic/Center | 108 Nw 76th Dr Ste A, Ste F, Gainesville, FL 32607-6652 | 2007-05-21 |
| 1255951182 | Georgia Ketamine Renew | Clinic/Center | 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780 | 2020-04-21 |
| 1609316975 | Gainesville Medical Obesity Specialty Clinic LLC | Clinic/Center | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2017-03-06 |
| 1780074831 | David C. Blumer, Md | Clinic/Center | 720 Sw 2nd Ave, Suite 204, Gainesville, FL 32601-6271 | 2015-01-28 |
| 1245580109 | North Florida Plastic Surgery Pllc | Clinic/Center | 108 Nw 76th Dr, Ste A, Gainesville, FL 32607-6652 | 2012-09-18 |
| 1194950949 | Optima Neurological Services | Clinic/Center | 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608-8125 | 2009-05-22 |
| 1982842605 | Allergy Asthma and Immunology Consultants Inc | Clinic/Center | 1173 Nw 64th Ter, Gainesville, FL 32605-4218 | 2009-02-03 |
| 1194991695 | Northeast Georgia Gynecology | Clinic/Center | 440 Washington St Se, Gainesville, GA 30501-3619 | 2008-05-05 |
| 1699961649 | Gainesville Gynecology, LLC | Clinic/Center | 1206a Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2007-09-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| 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.