LISA D ANDERSON


Address: 935 Highway 51, Madison, MS 39110-8407
Phone: 6018565986

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
16045 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00122742 05

Other Providers LISA ANDERSON

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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

Office Location

Street Address 935 HIGHWAY 51
City MADISON
State MS
Zip Code 39110-8407

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MADISON
Zip Code 39110

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Dataset Information

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.

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