LISA GARDISSER (NPI# 1801297189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801297189 |
| Entity Type | Individual |
| Full Name | LISA GARDISSER |
| Practice Address |
2646 Hwy 56 E Lyons GA 30436-4358 |
| Practice Telephone | 9122930056 |
| Mailing Telephone | 9122930056 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2646 HWY 56 E |
| City | LYONS |
| State | GA |
| Zip Code | 30436-4358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172388 | Nurses Plus, Inc | Clinic/Center | 262 Johnson Corner Rd, Lyons, GA 30436 | 2012-04-11 |
| 1073818969 | Accuquest Hearing Center | Hearing Aid Equipment | 115 Oxley Drive, Lyons, GA 30436 | 2011-01-24 |
| 1750374336 | Catherine W Reavis | Nurse Practitioner | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-29 |
| 1033262829 | Kathleen R Dunham-bridges | Nurse Practitioner | 110 R T Stanley Sr Place, Lyons, GA 30436 | 2007-01-18 |
| 1629009501 | Susan F Mclendon | Registered Nurse | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2006-07-06 |
| 1457344046 | Brandy W Sikes | Physician Assistant | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-30 |
| 1881625457 | Hazel E Mead | Registered Nurse | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-05 |
| 1649202607 | Toombs County Board of Health | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-07 |
| 1831112879 | Toombs County Wellness Center | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0308 | 2006-07-25 |
| 1548345036 | Donald J Payne Dmd PC | Dentist | 668 Nw Broad St, Lyons, GA 30436-0899 | 2006-10-25 |
| Find all providers in zip 30436 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609810 | Charles M Smith | Radiologic Technologist | 113 Fairview Park Dr, Suite A, Dublin, GA 31021-2501 | 2012-08-16 |
| 1942521067 | Kevin L Marler | Radiologic Technologist | 21 Golden Ct, Sharpsburg, GA 30277-2367 | 2010-06-14 |
| 1659510808 | Donn Alan Coe | Radiologic Technologist | 3815 Lovers Ln, Monroe, GA 30656-8556 | 2009-02-11 |
| 1922281104 | Clarissa Dawn George | Radiologic Technologist | 5810 Waterfall Way, Buford, GA 30518-1376 | 2007-12-11 |
| 1619373990 | Audrey Sims | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-13 |
| 1023362258 | Hilda Faye Bryant | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2012-11-09 |
| 1063711380 | Amanda Lauren Maldonado | Radiologic Technologist | 230 Duncan Dr Bldg 1440, Department of Radiology, Savannah, GA 31409-5107 | 2011-03-25 |
| 1427255769 | Daniel Wilson Krevdo | Radiologic Technologist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2007-06-29 |
| 1215133038 | Jon Andrew Logan | Radiologic Technologist | 621 North Ave, Ste. C-30, Atlanta, GA 30354-1430 | 2007-06-27 |
| 1447302344 | Riverdale Radiology Center | Radiologic Technologist | 833 Walnut St, Macon, GA 31201-2617 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
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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.