DR. LISA R ANTHONY (NPI# 1659346773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659346773 |
| Entity Type | Individual |
| Full Name | DR. LISA R ANTHONY |
| Credential | MD |
| Practice Address |
855 N Westhaven Dr Oshkosh WI 54904-7668 |
| Practice Telephone | 9203038700 |
| Mailing Telephone | 9203038700 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 40802-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME85235 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE NUMBER | ME85235 | 01 |
| WI | MEDICAL LICENSE NUMBER | 40802 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1811318520 | Lisa Anthony | Counselor | 10897 Se Hobart St, Jupiter, FL 33469-1671 | 2013-12-23 |
| 1265418453 | Lisa Dawn Anthony | Specialist/Technologist, Other | 2301 E Fort Macon Rd, Atlantic Beach, NC 28512-5633 | 2005-12-20 |
| 1700289352 | Lisa Anthony | Counselor | 10116 36th Avenue Ct Sw Ste 109, Lakewood, WA 98499-6005 | 2014-09-26 |
| 1013281880 | Lisa Rene Anthony | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2012-02-27 |
| 1407177553 | Lisa Pham Anthony | Dermatology | 1 Theall Rd, Rye, NY 10580-1404 | 2010-06-11 |
| Street Address |
855 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942212 | Jeffrey H Goldman | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2005-06-16 |
| 1336766971 | Jason R Schultz | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-06-30 |
| 1437771078 | Kyle Rozek | Physical Therapy Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-05-16 |
| 1447870050 | Inshirah V Robinson | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-04-23 |
| 1902433022 | Paige Weigandt | Massage Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-03-26 |
| 1700418944 | Michelle Hill | Pharmacist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-02-05 |
| 1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
| 1730730730 | Brittany L Hood | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-09-23 |
| 1821645391 | Jenna Rose Daun | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| 1659928141 | Troy Mcgilligan | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730324120 | Richard Charles Hughes | Internal Medicine | 2959 Ryf Rd, Oshkosh, WI 54904-9576 | 2008-12-13 |
| 1356376966 | Kirtida N Ringwala | Internal Medicine | 10 E Irving Ave, Oshkosh, WI 54901 | 2006-07-12 |
| 1750366704 | Elizabeth L Kimbrough | Internal Medicine | 491 S Washburn St, Suite 100, Oshkosh, WI 54904-6733 | 2005-12-13 |
| 1902890924 | Kevin P Andrasko | Internal Medicine | 1128 E Parkway Avenue, Oshkosh, WI 54901 | 2005-09-06 |
| 1306843321 | Lois Jean Jacobs | Internal Medicine | 1510 Arboretum Dr, Oshkosh, WI 54901-2790 | 2005-07-05 |
| 1578973087 | James Bruno | Internal Medicine | 135 Jackson St, Oshkosh, WI 54901 | 2014-05-06 |
| 1619318508 | Ann-marie Edwards | Internal Medicine | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2013-07-09 |
| 1700229416 | Weston William Radford | Internal Medicine | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2013-04-11 |
| 1528362258 | Abdulmajid Adam | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2011-01-10 |
| 1225346414 | Marwan Dib | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2010-09-22 |
| Find all providers in OSHKOSH | ||||
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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.