MRS. LISA MARIE WETHERHOLD (NPI# 1588698013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588698013 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE WETHERHOLD |
| Credential | PA-C |
| Practice Address |
333 Cottman Ave Philadelphia PA 19111-2434 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157286900 |
| Practice Fax Number | 2157285507 |
| Mailing Telephone | 2157286900 |
| Mailing Fax Number | 2157285507 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA052648 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164674990 | Lisa A Wetherhold | Physical Therapy Assistant | 33 N 17th St, Allentown, PA 18104-5601 | 2008-10-10 |
| Street Address |
333 COTTMAN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347504 | Sangeeta K Tyerech | Radiology | 333 Cottman Ave, Philadelphia, PA 19111 | 2005-06-22 |
| 1114524097 | Bernadette Golarz | Nurse Anesthetist, Certified Registered | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-10-05 |
| 1023625878 | Nallely Hernandez | Internal Medicine | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2020-09-25 |
| 1780298612 | Jean Marie Arlt | Psychologist | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-09-08 |
| 1811500549 | Facundo Iriarte | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2020-08-24 |
| 1275157455 | Temple University Hospital, Inc | General Acute Care Hospital | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-06-03 |
| 1548898836 | Hannah Rosenstein Campbell | Genetic Counselor, MS | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-03-31 |
| 1285281238 | Senthuran Tharmalingam | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2019-08-23 |
| 1619452885 | Max David Lefton | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2018-10-03 |
| 1730669425 | Christopher Mkl Yao | Otolaryngology | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992963391 | Meredith Alley | Physician Assistant | 34th St & Civic Center Blvd 3rd Floor Wood Building, Childrens Hospital of Philadelphia Division of Urology, Philadelphia, PA 19104 | 2008-06-02 |
| 1477738524 | Jennifer L Spicer | Physician Assistant | 8834 Germantown Ave, Chestnut Hill Hospital, Philadelphia, PA 19118-4399 | 2008-01-08 |
| 1366653503 | Gary Alan Cook | Physician Assistant | 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 | 2007-05-26 |
| 1063516110 | Mitchell Charles Staska | Physician Assistant | Philadelpia Veterans Hospital, University and Woodland Avenue, Philadelphia, PA 19104 | 2006-09-11 |
| 1932755071 | Jessica Lauren Dell'aquila | Physician Assistant | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-08-14 |
| 1598224420 | Dana Beth Krimker | Physician Assistant | 10800 Knights Rd, Philadelphia, PA 19114 | 2019-03-19 |
| 1124582259 | Tiffany Si-ya Sun | Physician Assistant | 3400 Spruce St, 10 Silverstein, Philadelphia, PA 19104-4238 | 2019-01-23 |
| 1649744178 | Madison Ann Vitelli | Physician Assistant | 800 Spruce St, Philadelphia, PA 19107 | 2019-01-17 |
| 1861964439 | Mary Katherine Tonetti | Physician Assistant | 3400 Spruce St, 2 Dulles, Philadelphia, PA 19104-4238 | 2018-12-20 |
| 1770054702 | Laura Elizabeth Ayd | Physician Assistant | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114-1440 | 2018-12-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on MRS. LISA MARIE WETHERHOLD.
| 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.