LISA M JARDINE (NPI# 1881662153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881662153 |
| Entity Type | Individual |
| Full Name | LISA M JARDINE |
| Credential | MD |
| Practice Address |
450 E Central Ave Winter Haven FL 33880-3050 |
| Mailing Address |
635 1st St N Winter Haven FL 33881-4129 |
| Practice Telephone | 8632940670 |
| Practice Fax Number | 8632983200 |
| Mailing Telephone | 8632940670 |
| Mailing Fax Number | 8632983200 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME76581 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255262100 | 05 | |
| FL | MEDICARE ID/RRM PIN | 160044555 | 01 |
| Street Address |
450 E CENTRAL AVE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689160 | Maria Isabel Martino-villanueva | Obstetrics & Gynecology | 450 E Central Ave, Winter Haven, FL 33880-3050 | 2006-02-22 |
| 1194794560 | Edna Pierre-louis | Obstetrics & Gynecology | 450 E Central Ave, Winter Haven, FL 33880-3050 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245491091 | Mid-florida Ob Gyn Hospitalist Physician Services L L C | Obstetrics & Gynecology | 101 Avenue O Ne, Winter Haven, FL 33881 | 2008-06-24 |
| 1083689160 | Maria Isabel Martino-villanueva | Obstetrics & Gynecology | 450 E Central Ave, Winter Haven, FL 33880-3050 | 2006-02-22 |
| 1538147384 | James J. Booker Iv | Obstetrics & Gynecology | 427 E Central Ave, Winter Haven, FL 33880-3051 | 2006-01-03 |
| 1457895096 | Tampa Obstetrics, Pa | Obstetrics & Gynecology | 1501 1st St S, Winter Haven, FL 33880-4307 | 2016-12-16 |
| 1922542810 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 1501 1st St S, Winter Haven, FL 33880-4307 | 2016-12-12 |
| 1740663426 | Ashley M Lopez | Obstetrics & Gynecology | 427 E Central Ave, Winter Haven, FL 33880-3051 | 2015-06-30 |
| 1265608012 | Mid-florida Physician Services LLC | Obstetrics & Gynecology | 200 Avenue F Ne, Winter Haven, FL 33881-4131 | 2008-05-01 |
| 1598956591 | Alexandria Jill Hill | Obstetrics & Gynecology | 101 Avenue O Se, Winter Haven, FL 33880-4333 | 2007-08-05 |
| 1982828455 | Andrea Francis | Obstetrics & Gynecology | 201 Magnolia Ave Sw, Winter Haven, FL 33880 | 2007-04-13 |
| 1639181076 | James J Booker Iv Md Pa | Obstetrics & Gynecology | 400 Avenue K Se, Ste 2, Winter Haven, FL 33880-4146 | 2006-08-13 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on LISA M JARDINE.
| 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.