DR. LISA F WADDELL (NPI# 1750403713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750403713 |
| Entity Type | Individual |
| Full Name | DR. LISA F WADDELL |
| Credential | M.D., M.P.H. |
| Practice Address |
1751 Calhoun St Columbia SC 29201-2606 |
| Mailing Address |
109 Pebble Creek Rd Columbia SC 29223-3112 |
| Practice Telephone | 8038980800 |
| Mailing Telephone | 8036998126 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
16993 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881093227 | Lisa Waddell | Counselor | 309 Highway 463 N, Trumann, AR 72472-3505 | 2014-08-21 |
| 1194250589 | Lisa Waddell | Massage Therapist | 690 Furnace Hills Pike, Lititz, PA 17543-8907 | 2017-04-24 |
| 1629421896 | Lisa D Waddell | Audiologist | 1500 E Medical Center Drive, 2nd Floor Taubman Ctr Recp A, Ann Arbor, MI 48109-4227 | 2016-07-22 |
| 1588689319 | Lisa Rhea Waddell | Physical Therapist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2006-07-13 |
| Street Address |
1751 CALHOUN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607552 | Coleen J. Collins | Nurse Practitioner | 1751 Calhoun St, Columbia, SC 29201-2606 | 2006-05-18 |
| 1174863195 | Tara P Carroll | Audiologist | 1751 Calhoun St, Room O-327, Columbia, SC 29201-2606 | 2013-02-28 |
| 1043554579 | Cathy Young-jones | Registered Nurse | 1751 Calhoun St, Columbia, SC 29201-2606 | 2012-11-21 |
| 1972737229 | State of South Carolina | Pharmacy | 1751 Calhoun St, Columbia, SC 29201-2606 | 2009-05-14 |
| 1366612210 | Helen Louise Huber | Nurse Practitioner | 1751 Calhoun St, Columbia, SC 29201-2606 | 2008-03-06 |
| 1235347048 | Riyadh D Muhammad | Pediatrics | 1751 Calhoun St, Sc Dhec / Dade, Columbia, SC 29201-2606 | 2007-05-18 |
| 1003942848 | Rebecca J Morrison | Nurse Practitioner | 1751 Calhoun St, Columbia, SC 29201-2606 | 2007-02-26 |
| 1992862312 | State of South Carolina | Public Health or Welfare | 1751 Calhoun St, Columbia, SC 29201-2606 | 2007-01-03 |
| 1447317854 | State of South Carolina | Public Health or Welfare | 1751 Calhoun St, Columbia, SC 29201-2606 | 2007-01-03 |
| 1720005788 | State of South Carolina | Home Health | 1751 Calhoun St, Columbia, SC 29201-2606 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790084515 | Robert Frank Marino | Preventive Medicine | 2213 Bee Ridge Rd, Columbia, SC 29223-6802 | 2011-03-18 |
| 1396076071 | Lena Bretous | Preventive Medicine | 4104 Percival Rd, Columbia, SC 29229-8307 | 2010-01-20 |
| 1457397788 | Gowtham Adamane Rao | Preventive Medicine | 4101 Percival Rd, Columbia, SC 29229-8320 | 2006-06-22 |
| 1669783239 | Fang Emily Deng | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2010-06-28 |
| 1003052002 | John Gibbons Jordan Jr. | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2008-12-21 |
| 1316103419 | Teresa A Foo | Preventive Medicine | 2100 Bull St, Columbia, SC 29201 | 2008-07-29 |
| 1346400348 | Theognosia Papasozomenos | Preventive Medicine | 3209 Colonial Dr, Family & Preventive Medicine, Columbia, SC 29203-6930 | 2008-06-12 |
| 1982889366 | Peter Lowell Beilenson | Preventive Medicine | 7178 Columbia Gateway Dr, Howard County Health Department, Columbia, MD 21046-2581 | 2008-01-04 |
| 1124231519 | Jude Okechukwu Onuoha | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2007-05-08 |
| 1326170069 | Cynthia Merle Lipsitz | Preventive Medicine | 7178 Columbia Gateway Dr, Columbia, MD 21046-2132 | 2007-03-09 |
| Find all providers in COLUMBIA | ||||
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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.