DR. LANCE REED WISSMAN (NPI# 1851539084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851539084 |
| Entity Type | Individual |
| Full Name | DR. LANCE REED WISSMAN |
| Credential | D.P.M. |
| Practice Address |
19389 N 59th Ave Glendale AZ 85308-6500 |
| Mailing Address |
19555 N 59th Ave Glendale AZ 85308-6813 |
| Practice Telephone | 6235376000 |
| Practice Fax Number | 6235376014 |
| Mailing Telephone | 6235723454 |
| Mailing Fax Number | 6235723449 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0568 | AZ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
19389 N 59TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378651 | Lori A Kemper | Family Medicine | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2005-07-05 |
| 1801433669 | Roxana Magee | Student in an Organized Health Care Education/Training Program | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2019-11-28 |
| 1730736000 | Maura Jacqueline Jones | Pharmacist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2019-08-21 |
| 1568957884 | Tina Zhu | Optometrist | 19389 N 59th Ave, Glendale, AZ 85308 | 2018-06-28 |
| 1780194670 | Stephanie Patricia Sanchez | Speech-Language Pathologist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2017-10-05 |
| 1730622960 | Martin Faridian | Pharmacist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2016-11-20 |
| 1528516770 | Lucia Lopes Fischer Smith | Speech-Language Pathologist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2016-09-16 |
| 1760868996 | Mardoqueo Joseph Martinez IIi | Pharmacist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2015-08-11 |
| 1871904797 | Gary Nathan Nakken | Family Medicine | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2014-05-13 |
| 1962743393 | Hillary Key | Student in an Organized Health Care Education/Training Program | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2013-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602399 | Sole Care LLC | Podiatrist | 5660 W Potter Dr, Glendale, AZ 85308-9164 | 2011-09-01 |
| 1811166341 | Spyros Tsoumpariotis | Podiatrist | 7901 Myrtle Ave, Glendale, NY 11385-7441 | 2008-02-28 |
| 1164608394 | Joseph Addiego | Podiatrist | 1510 S Central Ave Ste 120, Glendale, CA 91204-2576 | 2008-01-17 |
| 1073660353 | Glenoaks Podiatry Group Inc | Podiatrist | 844 West Glenoaks Blvd, Glendale, CA 91202-2134 | 2007-01-05 |
| 1417032863 | Spyros Tsoumpariotis | Podiatrist | 79-01 Myrtle Ave, Glendale, NY 11385 | 2006-10-26 |
| 1700968377 | Thunderbird Podiatry | Podiatrist | 5620 W Thunderbird, G2, Glendale, AZ 85306 | 2006-10-20 |
| 1124112255 | Jeffrey Howard Stark | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2006-10-03 |
| 1205937133 | Andrew C La | Podiatrist | 1510 S Central Ave #120, Glendale, CA 91204-2577 | 2006-09-25 |
| 1619076924 | George Nirvano Thompson Sr. | Podiatrist | 5757 West Thunderbird Road, Suite W203, Glendale, AZ 85306-4649 | 2006-09-22 |
| 1790713493 | Frank J Garofalo | Podiatrist | 1101 N Pacific Ave Ste 104, Glendale, CA 91202-4313 | 2006-06-29 |
| Find all providers in GLENDALE | ||||
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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.