DR. KELLY L LISH (NPI# 1720069172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720069172 |
| Entity Type | Individual |
| Full Name | DR. KELLY L LISH |
| Credential | M.D. |
| Practice Address |
850 W 3rd North St Suite A Morristown TN 37814-3887 |
| Mailing Address |
Po Box 310 Morristown TN 37815-0310 |
| Practice Telephone | 4235863240 |
| Practice Fax Number | 4235810229 |
| Mailing Telephone | 4235863240 |
| Mailing Fax Number | 4235810229 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0000020077 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
850 W 3RD NORTH ST SUITE A |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-3887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561567 | Holvor W Ashley | Pathology | 850 W 3rd North St, Suite A, Morristown, TN 37814-3887 | 2005-10-13 |
| 1164641874 | Syed Shaukat Husnain | Internal Medicine | 850 W 3rd North St, Morristown, TN 37814-3824 | 2007-04-24 |
| 1598815367 | Doctor Saleh Inc | Internal Medicine | 850 W 3rd North St, Suite B, Morristown, TN 37814-3887 | 2007-01-11 |
| 1245240423 | David Arden Walker | Internal Medicine | 850 W 3rd North St, Suite B, Morristown, TN 37814-3887 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561567 | Holvor W Ashley | Pathology | 850 W 3rd North St, Suite A, Morristown, TN 37814-3887 | 2005-10-13 |
| 1679961940 | Raji Hussain Mohammed | Pathology | 1 Washington Ave, Apt 15-2b, Morristown, NJ 07960-4341 | 2015-01-08 |
| 1114285129 | Diana Sung | Pathology | 100 Madison Avenue, Department of Pathology, Morristown, NJ 07960-6136 | 2012-04-26 |
| 1285944652 | Gordana Katava | Pathology | 65 Madison Ave, Morristown, NJ 07960-7354 | 2010-10-19 |
| 1477782811 | Huimiao Jiang | Pathology | 100 Madison Avenue, Department of Pathology, Morristown, NJ 07960-6136 | 2009-07-07 |
| 1255566493 | Kathryn C Piotti | Pathology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-05-18 |
| 1518192715 | Eman Zayan | Pathology | 100 Madison Avenue, Department of Pathology, Morristown, NJ 07960-6136 | 2009-05-18 |
| 1831346683 | Arbaz Samad | Pathology | 100 Madison Avenue, Department of Pathology, Morristown, NJ 07960-6136 | 2008-08-23 |
| 1164575759 | Robert Samuel Katz | Pathology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2007-01-19 |
| 1184719478 | Raimundo Gonzalez | Pathology | 100 Madison Avenue, Morristown, NJ 07960 | 2006-10-04 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
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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.