KLARA LISY (NPI# 1447727094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447727094 |
| Entity Type | Individual |
| Full Name | KLARA LISY |
| Credential | PA |
| Practice Address |
711 Canton Road Suite 300 Marietta GA 30060 |
| Practice Telephone | 6787415000 |
| Practice Fax Number | 6788194280 |
| Mailing Telephone | 6787415000 |
| Mailing Fax Number | 6788194280 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
711 CANTON ROAD SUITE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306408455 | Martin Johnson | Physician Assistant | 711 Canton Road, Suite 300, Marietta, GA 30060 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1770021958 | Sarah Miller | Physician Assistant | 2550 Windy Hill Rd Se Ste 200, Marietta, GA 30067-8654 | 2017-02-07 |
| 1972925709 | Jawauna Smith | Physician Assistant | 4343 Shallowford Rd Ste B4a, Marietta, GA 30062-5003 | 2014-01-14 |
| 1841611852 | Emily Hannah Johnson | Physician Assistant | 61 Whitcher St Ste 2100, Marietta, GA 30060 | 2013-12-17 |
| 1225464738 | Ashley D Lockhart | Physician Assistant | 400 Matthew St Ste 200, Marietta, OH 45750-1633 | 2013-09-17 |
| 1568593788 | Felicity A Devaughn | Physician Assistant | 790 Church St Ne Ste 510, Marietta, GA 30060-8957 | 2007-03-08 |
| 1346359585 | Alice Fair Franklin | Physician Assistant | 835 Cogburn Ave Nw Ste 100, Marietta, GA 30060-1008 | 2006-08-30 |
| 1013567452 | Megan Nichole Dalton | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-09-18 |
| 1356900757 | Megan Marie Johnson | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-06-10 |
| 1134786593 | Angela Michele Godfrey | Physician Assistant | 55 Whitcher St Ne Ste 160, Marietta, GA 30060 | 2019-05-21 |
| Find all providers in MARIETTA | ||||
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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.