MS. LISA MARIE CONWAY (NPI# 1457533283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457533283 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE CONWAY |
| Credential | PA-C |
| Practice Address |
2716 Old Rosebud Rd Lexington KY 40509-8008 |
| Practice Telephone | 8595431577 |
| Mailing Telephone | 8595431577 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2012-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.002674 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | PA1092 | 01 |
| OH | OH LICENSE | 50.002674 | 01 |
| KY | 7100036940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023419348 | Lisa Annette Conway | Psychologist | 4256 N Ravenswood Ave Ste 215, Chicago, IL 60613-1114 | 2014-09-05 |
| 1912307281 | Lisa Conway | Dietitian, Registered | 920 Forest Lake Dr Apt 304, Virginia Beach, VA 23464-3646 | 2014-08-24 |
| 1659931806 | Lisa Conway | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-06-19 |
| Street Address |
2716 OLD ROSEBUD RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-8008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102249 | Karen Santos Mccloud | Optometrist | 2716 Old Rosebud Rd, Suite 130, Lexington, KY 40509-8008 | 2005-08-24 |
| 1164847067 | Baptist Physicians Lexington, Inc. | Family Medicine | 2716 Old Rosebud Rd, Suite 351, Lexington, KY 40509-8008 | 2014-02-28 |
| 1376970624 | Cassie L Graham | Nurse Practitioner | 2716 Old Rosebud Rd, Suite 160, Lexington, KY 40509-8008 | 2013-10-02 |
| 1235576398 | Labtox, LLC | Clinical Medical Laboratory | 2716 Old Rosebud Rd, Suite 280, Lexington, KY 40509-8008 | 2013-05-30 |
| 1710321625 | Infinite Mind & Body, LLC | Internal Medicine | 2716 Old Rosebud Rd, Suite 230, Lexington, KY 40509-8008 | 2013-04-22 |
| 1043557721 | Alisha Patel | Dentist | 2716 Old Rosebud Rd, Ste 160, Lexington, KY 40509 | 2013-01-14 |
| 1962793976 | Ksm, Pllc | Optometrist | 2716 Old Rosebud Rd, Suite 130, Lexington, KY 40509-8008 | 2011-04-25 |
| 1245532209 | Thompson Clinical Practice, LLC | Social Worker | 2716 Old Rosebud Rd, Suite 210, Lexington, KY 40509-8008 | 2010-11-24 |
| 1508090424 | Tabitha Dawn Culver | Family Medicine | 2716 Old Rosebud Rd, Suite 351, Lexington, KY 40509-8008 | 2009-05-06 |
| 1780824995 | Michael J Bass Plastic Surgery, Pllc | Plastic Surgery | 2716 Old Rosebud Rd, Suite 350a, Lexington, KY 40509-8008 | 2009-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306118617 | Lb Health Psc | Physician Assistant | 1904 Nicholasville Rd, Lexington, KY 40503-2025 | 2012-02-01 |
| 1174890172 | Clayton Phillip Gatterdam Iv | Physician Assistant | 3205 Summit Square Suite 100, Lexington, KY 40509 | 2011-11-19 |
| 1134237340 | Rebecca Ward Hogsten | Physician Assistant | 4071 Tates Creek Centre Dr Ste 100, Lexington, KY 40517-3062 | 2006-08-28 |
| 1427003524 | David Wendell Moore | Physician Assistant | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2006-05-24 |
| 1376514760 | Kerri F Stillwell | Physician Assistant | 110 Houston Street, Lexington, VA 24450-0912 | 2006-02-01 |
| 1215914684 | Philip Harold Lafleur | Physician Assistant | 1055 Dove Run Road, Lexington, KY 40502 | 2005-12-28 |
| 1083690317 | Jana Sue Cuddy | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502 | 2005-12-19 |
| 1942852157 | Anna Gayle Scott | Physician Assistant | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2019-07-09 |
| 1609333582 | Hannah Leigh Burford | Physician Assistant | 1401 Harrodsburg Rd Ste C305, Lexington, KY 40504-3771 | 2019-02-27 |
| 1881177186 | Sarah Kruyer | Physician Assistant | 250 Hospital Dr, Lexington, NC 27292-6792 | 2018-09-12 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on MS. LISA MARIE CONWAY.
| 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.