MISS LISA LYNELLE GAMBLE (NPI# 1710998232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710998232 |
| Entity Type | Individual |
| Full Name | MISS LISA LYNELLE GAMBLE |
| Other Name | MRS. LISA BROCK |
| Credential | MD |
| Practice Address |
800 E Dawson St Tyler TX 75701-2036 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035251914 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
23658 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Q0047 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
23658 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 752616977042 | 01 |
| TX | BCBS | 8GM927 | 01 |
| TX | 369671801 | 05 | |
| LA | 1484164 | 05 | |
| TX | MEDICARE RAIL ROAD | P01831137 | 01 |
| MS | 09050308 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205989597 | Lisa A Gamble | Counselor | 301 Cayuga Road, Suite 200, Cheektowaga, NY 14225 | 2007-01-19 |
| 1568405983 | Lisa Kathleen Gamble | Physician Assistant | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-06-14 |
| 1881634871 | Lisa F Gamble | Nurse Practitioner | 1404 E Avalon Ave, Wing B, Tuscumbia, AL 35674-1773 | 2006-06-07 |
| Street Address |
800 E DAWSON ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051705 | Mohammad K Khedr | Internal Medicine | 800 E Dawson St, Tyler, TX 75701-2036 | 2005-05-31 |
| 1174130462 | Jessica Lemoine Phillips | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-30 |
| 1275148116 | Erika Anne Heffner | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-08 |
| 1750995684 | Christine Vo | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-09-08 |
| 1366051526 | Bessie Burchfield | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-23 |
| 1952929366 | Amy Elizabeth Enlow | Registered Nurse | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-07-13 |
| 1033739388 | Eric Bradley Vogt | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-04-16 |
| 1780212084 | Carolyn Victoria Hamilton | Registered Nurse | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-03-31 |
| 1548800022 | Jasmine Azghani Vardeman | Nurse Practitioner | 800 E Dawson St, Tyler, TX 75701-2036 | 2020-01-13 |
| 1346889383 | Kathy A Glem | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2019-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1225341563 | Mestawet Jemberu Teka | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2010-07-15 |
| 1720052749 | Richard S Kronenberg | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2006-02-15 |
| 1831173426 | Varsha S Taskar | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-12-06 |
| 1558344903 | James Martin Stocks | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-11-21 |
| 1366431538 | Steven Idell | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-10-19 |
| 1871582270 | William M Girard | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-10-18 |
| 1285623884 | David B Coultas | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-10-17 |
| 1689663387 | Leslie Ann Couch | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-10-17 |
| 1700874682 | Steven Dunning Brown | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
| 1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
| 1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
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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.