DR. LISA JEANNE SANDERS (NPI# 1881162402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881162402 |
| Entity Type | Individual |
| Full Name | DR. LISA JEANNE SANDERS |
| Other Name | LISA JEANNE ISTORICO |
| Credential | MD |
| Practice Address |
1315 E 7th Ave Ste 104 Tampa FL 33605-3606 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8133969021 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
53030 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
ME53030 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | MY949 | 01 |
| FL | 107818200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 18532 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Tampa General Cir, Tampa, FL 336063603 | 8139742201 | 8139742812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920247 | Lisa Kalynn Sanders | Nurse Practitioner | 2128 Page Creek Trl, Longview, TX 75601-0007 | 2020-10-20 |
| 1003432303 | Lisa Marie Sanders | Counselor | 7350 Montgomery Rd Ste 516, Cincinnati, OH 45236-7500 | 2020-06-23 |
| 1609046721 | Lisa Sanders | Internal Medicine | 2075 W Pecos Rd Ste 1, Chandler, AZ 85224-5723 | 2008-03-04 |
| 1548319726 | Lisa Ann Sanders | Licensed Practical Nurse | 18724 Fairway Ave, Maple Heights, OH 44137-1611 | 2007-01-09 |
| 1356439707 | Lisa Marie Sanders | Technician, Other | 54 Tillson Ave, Rockland, ME 04841-3417 | 2006-10-11 |
| 1467476903 | Lisa Jennifer Sanders | Nurse Practitioner | 900 W 48th Pl Ste 900, Kansas City, MO 64112-1899 | 2006-07-27 |
| 1235196734 | Lisa Marie Sanders | Chiropractor | 1525 Lexington Ave, Lawrenceville, IL 62439-2260 | 2006-04-27 |
| 1073594602 | Lisa M Sanders | Social Worker | 3250 Route 27, 103, Kendall Park, NJ 08824-1536 | 2005-11-10 |
| 1417587940 | Lisa Sanders | Pharmacist | 2655 Freedom Pkwy, Cumming, GA 30041-9177 | 2020-01-23 |
| 1831691435 | Lisa Sanders | Pharmacist | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2018-02-28 |
| Street Address |
1315 E 7TH AVE STE 104 |
| City | TAMPA |
| State | FL |
| Zip Code | 33605-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| 1326597949 | Sunstate Nephrology& Hypertension, LLC | Internal Medicine | 1922 E 4th Ave Ste A, Tampa, FL 33605 | 2016-09-23 |
| 1063836781 | Yetey Enterprises Inc | Assisted Living Facility | 3213 E 11th Ave, Tampa, FL 33605 | 2014-02-17 |
| 1275972903 | Tristin Andrew Zorn | Physical Therapy Assistant | 1803 E 3rd Ave, Tampa, FL 33605 | 2013-06-15 |
| 1184069213 | Jarvis A. Hodges | Counselor | 4422 E. Columbus Dr, Tampa, FL 33605 | 2013-05-02 |
| 1104164268 | Diana Marie Smith-scriven | Social Worker | 4422 East Columbus Drive, Tampa, FL 33605 | 2013-01-24 |
| 1699081943 | Gary L Howell | Psychologist | 2109 E Palm Ave Ste 201, Tampa, FL 33605 | 2010-08-25 |
| 1154555431 | Arthritis Pain Solutions LLC | Durable Medical Equipment & Medical Supplies | 1614 E 14th Ave, Tampa, FL 33605 | 2009-05-14 |
| 1891968715 | Deepa Dasani | Counselor | 4422 E. Columbus Drive, Tampa, FL 33605 | 2008-04-11 |
| 1811016058 | Peter A Gorski | Pediatrics | Children's Board of Hillsborough County, 1002 E. Palm Ave, Tampa, FL 33605 | 2007-03-28 |
| Find all providers in zip 33605 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114968 | Alfredo Murciano Md Pa | Pediatrics | 330 Casuarina Concourse, Coral Gables, FL 33143-6508 | 2008-05-21 |
| 1851504864 | Michael Joseph Muszynski | Pediatrics | 415 Briercliff Dr, Orlando, FL 32806-2203 | 2007-05-07 |
| 1558580522 | Luis A Blanco | Pediatrics | 8752 Sw 8th St, Miami, FL 33174-3201 | 2007-04-25 |
| 1528281409 | Ivan Alberto Gonzalez | Pediatrics | 1580 N.w. 10th Avenue, Locator Code D4-4, Miami, FL 33136 | 2007-04-10 |
| 1710047121 | Alfredo Ivan Murciano | Pediatrics | 6537 Coral Way, Miami, FL 33155-1843 | 2006-12-08 |
| 1831261262 | Maria Del Pilar Gutierrez | Pediatrics | 1131 N 35th Ave Ste 310, Hollywood, FL 33021-5403 | 2006-11-14 |
| 1699706937 | Alejandro Isava | Pediatrics | 1520 Ne 26th Ave, Fort Lauderdale, FL 33304 | 2006-07-05 |
| 1952382251 | Sumita Bhaduri-mcintosh | Pediatrics | 1600 Sw Archer Rd Box 100296, Gainesville, FL 32610-1526 | 2005-11-14 |
| 1568458834 | Pablo M Laufer | Pediatrics | 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 | 2005-09-22 |
| 1922552876 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Suite 206, Miami, FL 33155 | 2016-08-09 |
| 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.