LISA D ANDERSON (NPI# 1699703389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699703389 |
Entity Type | Individual |
Full Name | LISA D ANDERSON |
Credential | M.D. |
Practice Address |
935 Highway 51 Madison MS 39110-8407 |
Mailing Address |
308 Corporate Dr Ridgeland MS 39157-8803 |
Practice Telephone | 6018565986 |
Mailing Telephone | 6018987500 |
Mailing Fax Number | 6018987577 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2016-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
16045 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00122742 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346889706 | Lisa Marie Anderson | Occupational Therapy Assistant | 5269 Green Valley Dr, Clarence, NY 14031-1231 | 2020-01-03 |
1063991263 | Lisa Anderson | Licensed Vocational Nurse | 213 Pryor St, Rusk, TX 75785-9206 | 2018-08-08 |
1780182840 | Lisa Anderson | Licensed Practical Nurse | 4383 Devonshire Rd, Detroit, MI 48224-3637 | 2018-01-24 |
1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
1760937973 | Lisa Anderson | Occupational Therapist | 341 Mackenzie Dr, Camano Island, WA 98282-8743 | 2016-08-17 |
1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
1780053371 | Lisa Anderson | Speech-Language Pathologist | 41750 Carthage Rd, Ravenna, NE 68869-4051 | 2015-09-24 |
1982959508 | Lisa Marie Anderson | Specialist | 4 Cherry Pl, Staten Island, NY 10314-6912 | 2012-07-19 |
1396008413 | Lisa L Anderson | Counselor | 500 S Main St Ste B, Mount Pleasant, MI 48858-3100 | 2012-06-22 |
1285928309 | Lisa Waters Anderson | Speech-Language Pathologist | 1525 Beaver Ave, Des Moines, IA 50310-4426 | 2011-06-06 |
Street Address |
935 HIGHWAY 51 |
City | MADISON |
State | MS |
Zip Code | 39110-8407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386129799 | Mea Primary Care Plus, LLC | Family Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2018-10-02 |
1376555334 | Joe W Terry | Family Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-08-11 |
1609885284 | Larry W Sivils | Family Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-08-05 |
1366450066 | Robert May | Family Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-08-04 |
1417964081 | Michael Greene | Family Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-08-03 |
1437183431 | First Intermed Corporation | Family Medicine | 935 Highway 51, Madison, MS 39110-8407 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
Find all providers in zip 39110 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740642180 | Derek Hunt | Emergency Medicine | 709 Sugar Bend Cir Sw, Madison, AL 35756-5311 | 2016-03-24 |
1679771240 | Old Hickory Emergency Physicians | Emergency Medicine | 500 Hospital Dr, Madison, TN 37115-5031 | 2007-07-05 |
1629055124 | Thomas F Bugliosi | Emergency Medicine | 202 S Park St, Madison, WI 53715-1507 | 2005-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568603330 | Charmaine Lillian Mccleave | Emergency Medicine | 69 Jackson Rd, Hattiesburg, MS 39402 | 2009-03-09 |
1144344151 | David L. Merideth | Emergency Medicine | 407b W Parkway Pl, Ridgeland, MS 39157-6031 | 2007-03-16 |
1184755308 | Amy B Davis | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2007-03-08 |
1114087483 | David Butler Johnson | Emergency Medicine | 806 Crestview Dr, Yazoo City, MS 39194-2511 | 2006-12-09 |
1952323073 | Pratt Family Medical Clinic, P.a. | Emergency Medicine | 121 Pratt Drive, Suite 1 A, Corinth, MS 38834 | 2006-07-25 |
1730106600 | Sean Brian Appleyard | Emergency Medicine | Hancock Medical Center--emergency Dept, 149 Drink Water Blvd, Bay St. Loois, MS 39520 | 2006-07-16 |
1265486450 | Emmanuel Kpabitey | Emergency Medicine | 110 Yazoo Ave Ste 121, Clarksdale, MS 38614-4397 | 2006-05-20 |
1184614984 | Harvie D Harrier | Emergency Medicine | 114 E Percy St, Bed On The Bayou Cottage B, Indianola, MS 38751-2443 | 2005-10-24 |
1669904058 | Daniel Krebs | Emergency Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-03 |
1043690936 | George Regional Er Physicians | Emergency Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2015-06-04 |
Find all providers with the same taxonomy |
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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.