DR. LISA MARIE COUGHLIN (NPI# 1932408622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932408622 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE COUGHLIN |
| Credential | M.D. |
| Practice Address |
2751 Bay Park Dr Ste 300-303 Oregon OH 43616 |
| Mailing Address |
333 N Summit St Fl 7 Toledo OH 43604-1531 |
| Practice Telephone | 4196930711 |
| Practice Fax Number | 4196932320 |
| Mailing Telephone | 4196930711 |
| Mailing Fax Number | 4196932320 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD465786 | PA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 35-120363 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE | PENDING | 01 |
| OH | 0084903 | 05 | |
| PA | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 807 Turnpike Ave Ste 250, Clearfield, PA 168301238 | 8142051900 | 8142051902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639328842 | Lisa A Coughlin | Speech-Language Pathologist | 137 Cushing Pl, Buffalo, NY 14220-2555 | 2008-09-11 |
| 1487090627 | Lisa Devine Coughlin | Nurse Practitioner | 325b King Street, Northampton, MA 01060-2370 | 2013-05-15 |
| Street Address |
2751 BAY PARK DR STE 300-303 |
| City | OREGON |
| State | OH |
| Zip Code | 43616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| 1972517712 | John D. Cercek, D.d.s. | Dentist | 3140 Dustin Road, Oregon, OH 43616 | 2006-07-28 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487962197 | Robert Bret Shillingstad | Surgery | 6227 Purcell Rd, Oregon, WI 53575-1753 | 2010-09-15 |
| 1104020940 | Amanda M Zahn | Surgery | 2751 Bay Park Dr Ste 300, Oregon, OH 43616-4922 | 2007-06-14 |
| 1225346034 | Lorraine Jean Lamanna | Surgery | 6227 Purcell Rd, Oregon, WI 53575-1753 | 2010-09-15 |
| 1841323755 | Great Lakes Sugical Partners, Ltd. | Surgery | 1050 Isaac Streets Dr, Suite 131, Oregon, OH 43616-3291 | 2007-03-13 |
| 1861591992 | Chinda Suriyapa | Surgery | 1050 Isaac Streets Dr, Suite 104, Oregon, OH 43616-3291 | 2006-09-22 |
| 1275530164 | Ziya Celik | Surgery | 2751 Bay Park Dr, #202, Oregon, OH 43616-4921 | 2005-07-07 |
| 1376540385 | Manish M Thusay | Surgery | 2751 Bay Park Dr, 202, Oregon, OH 43616-4921 | 2005-07-05 |
| 1811993413 | Ishrat Husain | Surgery | 1050 Isaac Streets Dr, Suite 131, Oregon, OH 43616-3291 | 2005-06-28 |
| 1780680397 | Mustafa Guvendi | Surgery | 1050 Isaac Streets Dr, Suite 131, Oregon, OH 43616-3291 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| 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.