LISA JILL DOHERTY (NPI# 1447356357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447356357 |
| Entity Type | Individual |
| Full Name | LISA JILL DOHERTY |
| Credential | DO |
| Practice Address |
330 N Best Ave Walnutport PA 18088-1205 |
| Mailing Address |
330 N. Best Ave. Suite A Walnutport PA 18088-1205 |
| Practice Telephone | 6107608080 |
| Practice Fax Number | 6107608148 |
| Mailing Telephone | 6107608080 |
| Mailing Fax Number | 6107608148 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS008045L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015096280008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593100 | Lisa Doherty | Specialist | 41 Turtle Cove Ln, Huntington, NY 11743-3875 | 2012-10-17 |
| 1407302540 | Lisa Dianne Doherty | Registered Nurse | 4080 Reed Rd Se, Salem, OR 97302-1357 | 2016-08-29 |
| 1083016471 | Lisa Marie Doherty | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-09-17 |
| 1821423294 | Lisa Doherty | Registered Nurse | 2600 W 9th St, Chester, PA 19013-2040 | 2013-09-04 |
| 1871791236 | Lisa L Doherty | Family Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2007-07-06 |
| 1497700652 | Lisa M Doherty | Nurse Practitioner | 450 Brookline Ave, Da2116, Boston, MA 02215-5418 | 2006-05-24 |
| Street Address |
330 N BEST AVE |
| City | WALNUTPORT |
| State | PA |
| Zip Code | 18088-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992801898 | St. Luke's Physician Group, Inc. | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| 1518416957 | Anne Marie Meyers | Physician Assistant | 330 N Best Ave, Walnutport, PA 18088-1205 | 2016-09-27 |
| 1679693857 | Garry M Carbone, Md | Internal Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2007-03-30 |
| 1659477578 | Colleen Manzella | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487036 | Shailen Patel | Pharmacist | 200 S Best Ave, Walnutport, PA 18088 | 2017-02-28 |
| 1730630104 | Ondrea Colonna-dotter | Specialist/Technologist | 4589 Ann Elizabeth Ct, Walnutport, PA 18088 | 2016-10-20 |
| 1417360306 | Megan Trinkle | Pharmacist | 200 S. Best Ave, Walnutport, PA 18088 | 2014-06-09 |
| 1659495059 | F. Joseph Werner, O.d. PC | Optometrist | 301 N. Best Ave, Walnutport, PA 18088 | 2007-03-19 |
| 1104950328 | Patricia Ann Dematto | Pharmacist | 200 South Best Ave, Walnutport, PA 18088 | 2007-03-16 |
| 1710037700 | Karen Marie Lehman | Dentist | 961 Riverview Dr, Walnutport, PA 18088 | 2007-01-11 |
| 1225199433 | Iradj Amirlak | Chronic Disease Hospital | Emirates International Hospital, Al Khabisi, Al Ain, ABU DHABI 18088 | 2006-12-12 |
| 1790227197 | Riverstone Manor LLC | Public Health or Welfare | 1 Main St, Walnutport, PA 18088-1023 | 2016-11-16 |
| 1154325629 | Thomas Edward Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2005-06-13 |
| 1295872901 | Cressman and Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2007-01-31 |
| Find all providers in zip 18088 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992801898 | St. Luke's Physician Group, Inc. | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| 1154325629 | Thomas Edward Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2005-06-13 |
| 1295872901 | Cressman and Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2007-01-31 |
| 1386790590 | Debra Ellen Cressman | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2007-01-28 |
| 1659477578 | Colleen Manzella | Family Medicine | 330 N Best Ave, Walnutport, PA 18088-1205 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | WALNUTPORT |
| Zip Code | 18088 |
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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.