LISA RE ANDERSON (NPI# 1881798874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881798874 |
| Entity Type | Individual |
| Full Name | LISA RE ANDERSON |
| Credential | MD |
| Practice Address |
121 Medical Center Dr Suite 2700 Brunswick ME 04011-2653 |
| Mailing Address |
123 Medical Center Dr Suite 2700 Brunswick ME 04011-2652 |
| Practice Telephone | 2077218700 |
| Practice Fax Number | 2077218715 |
| Mailing Telephone | 2077218700 |
| Mailing Fax Number | 2077218715 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 014029 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 102140000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889706 | Lisa Marie Anderson | Occupational Therapy Assistant | 5269 Green Valley Dr, Clarence, NY 14031-1231 | 2020-01-03 |
| 1063991263 | Lisa Anderson | Licensed Vocational Nurse | 213 Pryor St, Rusk, TX 75785-9206 | 2018-08-08 |
| 1780182840 | Lisa Anderson | Licensed Practical Nurse | 4383 Devonshire Rd, Detroit, MI 48224-3637 | 2018-01-24 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1760937973 | Lisa Anderson | Occupational Therapist | 341 Mackenzie Dr, Camano Island, WA 98282-8743 | 2016-08-17 |
| 1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
| 1780053371 | Lisa Anderson | Speech-Language Pathologist | 41750 Carthage Rd, Ravenna, NE 68869-4051 | 2015-09-24 |
| 1982959508 | Lisa Marie Anderson | Specialist | 4 Cherry Pl, Staten Island, NY 10314-6912 | 2012-07-19 |
| 1396008413 | Lisa L Anderson | Counselor | 500 S Main St Ste B, Mount Pleasant, MI 48858-3100 | 2012-06-22 |
| 1285928309 | Lisa Waters Anderson | Speech-Language Pathologist | 1525 Beaver Ave, Des Moines, IA 50310-4426 | 2011-06-06 |
| Street Address |
121 MEDICAL CENTER DR SUITE 2700 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
| 1326410333 | Ruth E Macy | Physical Therapist | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2015-10-29 |
| 1447650676 | Maud Van De Wiele | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2014-08-25 |
| 1427320928 | Aoife Elizabeth O'brien | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2012-01-31 |
| 1083921282 | Alexis Leigh Nolan | Midwife | 121 Medical Center Dr, Ste 2700, Brunswick, ME 04011-2669 | 2010-09-09 |
| 1053544718 | Annemarie B. Curnin | Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2009-08-28 |
| 1972768166 | Diana Vradii | Internal Medicine | 121 Medical Center Dr, Suite 3500, Brunswick, ME 04011-2653 | 2008-07-28 |
| 1912167347 | Laura B Smith-tucker | Nurse Practitioner | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2008-06-10 |
| 1396928412 | Suzanne W Zimmerman | Registered Nurse | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2007-12-12 |
| 1477762383 | Mid Coast Cardiology | Internal Medicine | 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1851749089 | Erica Leigh Jacovetty | Obstetrics & Gynecology | 121 Medical Center Dr Ste 2700, Brunswick, ME 04011-2669 | 2016-05-27 |
| 1174877187 | Karen Lynn King | Obstetrics & Gynecology | 8 Balsam Ave, Brunswick, ME 04011-9369 | 2012-10-30 |
| 1417280322 | Ultimate Med Inc | Obstetrics & Gynecology | 2888 Nationwide Pkwy, Brunswick, OH 44212-2362 | 2009-09-09 |
| 1346423191 | Anna M. Cabeca Do PC | Obstetrics & Gynecology | 2712 Parkwood Dr, Brunswick, GA 31520-4727 | 2007-12-14 |
| 1871600486 | Women's Health Group Se Ga | Obstetrics & Gynecology | 418 Eh Court Unit 4b, Brunswick, GA 31520 | 2006-08-23 |
| 1093829384 | Henry Warnock Flournoy | Obstetrics & Gynecology | 2444 Parkwood Dr, Brunswick, GA 31520-4721 | 2006-08-17 |
| 1972572923 | Matthew M Johnston | Obstetrics & Gynecology | 418 Eh Ct, Unit 4b, Brunswick, GA 31520-2199 | 2006-03-14 |
| 1902874043 | Nancy A Denlea | Obstetrics & Gynecology | 3025 Shrine Rd, Suite 190, Brunswick, GA 31520-4788 | 2006-03-14 |
| 1437128485 | Tina F Mitchell | Obstetrics & Gynecology | 7000 Wellness Way Ste 7220, Brunswick, GA 31522-2286 | 2006-03-14 |
| 1154396703 | Natalie A Bowersox | Obstetrics & Gynecology | 3574 Center Rd, Brunswick, OH 44212-3618 | 2006-02-17 |
| Find all providers in BRUNSWICK | ||||
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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.