LISA OSUCH (NPI# 1598918039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598918039 |
| Entity Type | Individual |
| Full Name | LISA OSUCH |
| Credential | PA |
| Practice Address |
10190 Sw 3rd St Plantation FL 33324-2234 |
| Practice Telephone | 9543822818 |
| Practice Fax Number | 9543824910 |
| Mailing Telephone | 9543822818 |
| Mailing Fax Number | 9543824910 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104834 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10190 SW 3RD ST |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073701066 | Bonnie Lee Meere | Registered Nurse | 10190 Sw 3rd St, Plantation, FL 33324-2234 | 2007-10-04 |
| 1780012294 | Professional Surgical Assistants | Physician Assistant | 10190 Sw 3rd St, Plantation, FL 33324-2234 | 2013-10-18 |
| 1467884916 | Annette Sophin | Physician Assistant | 10190 Sw 3rd St, Plantation, FL 33324-2234 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891123766 | Kristina Alvarez | Physician Assistant | 300 South Pine Island Road, Suite #105, Plantation, FL 33324 | 2013-10-31 |
| 1770759490 | Jason Paul Parson | Physician Assistant | 350 Nw 84th Ave Ste 300, Plantation, FL 33324-1859 | 2008-05-02 |
| 1639549603 | Sports Medicine Associates of South Florida, P.a. | Physician Assistant | 220 Sw 84th Ave Ste 102, Plantation, FL 33324 | 2015-10-02 |
| 1982074068 | Celina Cavanagh | Physician Assistant | 201 Nw 82nd Ave, 405, Plantation, FL 33324-7808 | 2015-10-01 |
| 1598171514 | Surgical Hands Pa | Physician Assistant | 201 Nw 82nd Ave, Suite # 405, Plantation, FL 33324-7808 | 2014-07-10 |
| 1740618974 | Professional Surgical Assistants | Physician Assistant | 300 S Pine Island Rd, 105, Plantation, FL 33324-2673 | 2013-10-25 |
| 1780012294 | Professional Surgical Assistants | Physician Assistant | 10190 Sw 3rd St, Plantation, FL 33324-2234 | 2013-10-18 |
| 1467884916 | Annette Sophin | Physician Assistant | 10190 Sw 3rd St, Plantation, FL 33324-2234 | 2013-08-07 |
| 1053682617 | Lindsey Walsh | Physician Assistant | 300 S Pine Island Rd, 105, Plantation, FL 33324-2673 | 2012-01-13 |
| 1851629810 | Johnny B Terry Jr. | Physician Assistant | 350 Nw 84th Ave, Suite 300, Plantation, FL 33324-1817 | 2009-12-02 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.