LISA CORSTVET MD PLLC (NPI# 1902039241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902039241 |
| Entity Type | Organization |
| Organization Name | LISA CORSTVET MD PLLC |
| Practice Address |
4317 W Memorial Rd Oklahoma City OK 73134-1720 |
| Mailing Address |
Po Box 975008 Dallas TX 75397-5008 |
| Practice Telephone | 4054184800 |
| Practice Fax Number | 4054184820 |
| Mailing Telephone | 4054184800 |
| Mailing Fax Number | 4054184820 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | CHERI MOORE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4054184800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 16541 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DOL | 614474300 | 01 |
| OK | 200257060A | 05 |
| Street Address |
4317 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73134-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295702801 | Michael Ferguson | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-03-02 |
| 1255940607 | Michael L. Ferguson,m.d., Inc. | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2020-07-30 |
| 1386100683 | J Soni Md LLC | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2019-02-12 |
| 1538574843 | Dpm Anesthesiology Pllc | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2014-06-25 |
| 1184832081 | Anesthesiology Specialists Inc | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2007-05-21 |
| 1083628044 | Lisa Margaret Corstvet | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-07-27 |
| 1891729885 | Central Okc Anesthesia, Pllc | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-07-10 |
| 1255375762 | Michael D Elder | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-06-15 |
| 1356308290 | Sean F Kelley | Anesthesiology | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-04-26 |
| 1588628358 | Oklahoma Outpatient Surgery Limited Partnership | Clinic/Center | 4317 W Memorial Rd, Oklahoma City, OK 73134-1720 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
| 1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
| Find all providers in zip 73134 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417463548 | Integrated Anesthesia Services, Pllc | Anesthesiology | 5030 N May # 291, Oklahoma City, OK 73112-6010 | 2017-12-27 |
| 1942710066 | Christopher C. Shadid, Md, Pllc | Anesthesiology | 837 Nw 41st St, Oklahoma City, OK 73118-6822 | 2017-10-03 |
| 1699124297 | Sterling Etim Euk Udom | Anesthesiology | 750 Ne 13th, Suite 200, College of Medicine, Oklahoma City, OK 73104 | 2016-06-06 |
| 1710331079 | Joseph Mosley | Anesthesiology | 750 Ne 13th Oac 200, Oklahoma City, OK 73104 | 2016-04-22 |
| 1639570427 | Rrm Medical Pllc | Anesthesiology | 3048 Sw 89th St Ste A, Oklahoma City, OK 73159-6359 | 2014-09-11 |
| 1962763110 | Sheila Busch Campbell | Anesthesiology | 3532 Quail Creek Rd, Oklahoma City, OK 73120-8911 | 2012-06-05 |
| 1497012272 | Neda Sadeghi | Anesthesiology | 12016 Dahoon Dr, Oklahoma City, OK 73120-8131 | 2012-04-18 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1609161231 | Ksenia Koltun | Anesthesiology | 13321 N. Meridian Suite 402, Oklahoma City, OK 73120 | 2011-06-11 |
| 1861722357 | Anesthesia and Tee Services, PC | Anesthesiology | 149 Lake Aluma Dr, Oklahoma City, OK 73121-3401 | 2010-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
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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.