DR. LISA MICHELLE MAYES (NPI# 1558651794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558651794 |
| Entity Type | Individual |
| Full Name | DR. LISA MICHELLE MAYES |
| Credential | D.O. |
| Practice Address |
1201 N Rutherford St Macon MO 63552-2020 |
| Mailing Address |
29024 Junction Pl Macon MO 63552-3622 |
| Practice Telephone | 6603858900 |
| Mailing Telephone | 6603851077 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2012-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2009017010 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1083763072 | Lisa L Mayes | Optometrist | 705 Sw 19th St Ste 160b, Moore, OK 73160 | 2007-01-09 |
| 1497836746 | Lisa Hauser Mayes | Dentist | 3761 Nw Cary Pkwy, Suite 100, Cary, NC 27513-8438 | 2006-10-17 |
| 1831472836 | Lisa Mayes | Pharmacist | 1220 Richmond Rd, Irvine, KY 40336-7232 | 2011-09-26 |
| Street Address |
1201 N RUTHERFORD ST |
| City | MACON |
| State | MO |
| Zip Code | 63552-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387163 | Nora Marie Hockman-mcdowell | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2005-06-22 |
| 1942845375 | Emily Kerns | Physician Assistant | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-11-08 |
| 1508417650 | Jamie Lynne Oliver | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-09-20 |
| 1437666872 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2018-01-08 |
| 1437552213 | Krystal Barnett | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2014-10-07 |
| 1114195187 | Paula G Barr | Nurse Practitioner | 1201 N Rutherford St, Macon, MO 63552-2020 | 2008-02-13 |
| 1184744765 | Bradley Robert Freidel | Internal Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2007-03-29 |
| 1891734505 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-06 |
| 1952340663 | Julie L Burdin | Family Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-06 |
| 1255370482 | James W Mcdowell | Family Medicine | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
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| 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 |
|---|---|---|---|---|
| 1497393953 | Umerah Family Practice LLC | Family Medicine | 112 Arkwright Lndg Ste B, Macon, GA 31210-1364 | 2019-12-16 |
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1578025300 | Shail Patel | Family Medicine | 3780 Eisenhower Pkwy Ste 1, Macon, GA 31206-0801 | 2019-04-01 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1255779351 | Kristopher K Mcjenkin | Family Medicine | 105 Bass Plantation Dr, Apt 607, Macon, GA 31210-5735 | 2013-06-11 |
| 1750620191 | Derrick Lane, Md, LLC | Family Medicine | 818 Forsyth St, Macon, GA 31201-2139 | 2013-02-05 |
| 1215182977 | Unlimited Medical Solutions, Inc. | Family Medicine | 3200 Riverside Dr Bldg B, Macon, GA 31210-2550 | 2008-11-22 |
| 1144474784 | Jack Fernando Menendez | Family Medicine | 376 Rogers Ave, Macon, GA 31204-2506 | 2008-11-10 |
| 1255504098 | Veera Pavuluri | Family Medicine | 132 Madison North Dr, Macon, GA 31220-7626 | 2008-04-11 |
| 1871770412 | Albert Warren Jr. | Family Medicine | 1339 Gray Hwy, Macon, GA 31211-1903 | 2008-01-25 |
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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.