LISA E SHEVLIN (NPI# 1780780726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780780726 |
| Entity Type | Individual |
| Full Name | LISA E SHEVLIN |
| Credential | PA |
| Practice Address |
360 Linden Oaks Suite #300 Rochester NY 14625-2814 |
| Practice Telephone | 5853838830 |
| Practice Fax Number | 5853838918 |
| Mailing Telephone | 5853838830 |
| Mailing Fax Number | 5853838918 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010080 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03124247 | 05 |
| Street Address |
360 LINDEN OAKS SUITE #300 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851380844 | Victoria Uberti Nugent | Nurse Practitioner | 360 Linden Oaks, Suite #300, Rochester, NY 14625-2806 | 2005-10-21 |
| 1053786574 | Podiatry Associates of Rochester, LLP | Podiatrist | 360 Linden Oaks, Suite 120, Rochester, NY 14625-2814 | 2015-12-09 |
| 1417358821 | Daniel Elia | Physical Therapist | 360 Linden Oaks, Suite 200, Rochester, NY 14625-2814 | 2014-09-05 |
| 1518231109 | Claire Rae Macdowell | Physician Assistant | 360 Linden Oaks, Suite 220, Rochester, NY 14625-2814 | 2012-02-29 |
| 1710259288 | Grhs, LLC | Clinic/Center | 360 Linden Oaks, Rochester, NY 14625-2824 | 2012-01-31 |
| 1760516033 | Genesee Surgical Associates, PC | Specialist | 360 Linden Oaks, Suite #300, Rochester, NY 14625-2814 | 2007-03-16 |
| 1427102425 | Kevin Louis Kozara | Otolaryngology | 360 Linden Oaks, Suite 220, Rochester, NY 14625-2814 | 2007-01-23 |
| 1154488161 | Christina Eadie Taddeo | Physical Medicine & Rehabilitation | 360 Linden Oaks, Suite 200, Rochester, NY 14625-2814 | 2007-01-02 |
| 1629011796 | Stephanie N Yu | Physician Assistant | 360 Linden Oaks, Suite #300, Rochester, NY 14625-2814 | 2006-06-14 |
| 1386686947 | Karl B Michalko | Orthopaedic Surgery | 360 Linden Oaks, Suite 210, Rochester, NY 14625-2814 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1386051688 | Amelia K Caraway | Physician Assistant | 20 Hagon Dr., Suite 300, Rochester, NY 14625 | 2014-07-18 |
| 1750793980 | Eileen M Wayne | Registered Nurse | 36a Brook Hill Lane, Rochester, NY 14625 | 2014-05-22 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1740556265 | Kelly M Limbeck | Speech-Language Pathologist | 2590 Atlantic Avenue, Denfield, NY 14625 | 2012-03-29 |
| 1952691743 | Sandra Anne Swanson | Massage Therapist | 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 | 2011-04-13 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1568643849 | Richard F. Eagleton | Pharmacist | 1601 Penfield Road, Rochester, NY 14625 | 2007-11-15 |
| Find all providers in zip 14625 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518411107 | Michelle Ann Swider | Physician Assistant | 1425 Portland Ave Ste 220, Rochester, NY 14621-3011 | 2016-08-11 |
| 1124423355 | Amanda Schnorf | Physician Assistant | 2824 W Ridge Rd, Rochester, NY 14626-1639 | 2014-10-30 |
| 1679989479 | Jacob William Raifstanger | Physician Assistant | 2655 Ridgeway Ave Ste 460, Rochester, NY 14626-4296 | 2014-07-01 |
| 1225385305 | Katie Elizabeth Kenny | Physician Assistant | 1555 Long Pond Rd Fl 1, Rochester, NY 14626-4122 | 2012-08-08 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1033322797 | Joan Marie Wobig | Physician Assistant | 5426 15th St Se, Rochester, MN 55904-6719 | 2007-05-08 |
| 1871705749 | Beverley Myers | Physician Assistant | 4730 17th St Se, Rochester, MN 55904-6680 | 2007-05-04 |
| 1831310739 | Brenda Gerdts | Physician Assistant | 4838 Scenic View Dr Sw, Rochester, MN 55902-1527 | 2007-05-01 |
| 1558419739 | Kathryn Ann Ciurca | Physician Assistant | 868 Clover St, Rochester, NY 14610-3232 | 2007-01-06 |
| Find all providers in ROCHESTER | ||||
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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.