Lisa J. Mao (NPI# 1922366210, PAC ID# 1850661208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1922366210 |
| PAC ID by PECOS | 1850661208 |
| Professional Enrollment ID | I20180816000625 |
| Full Name | Lisa J. Mao |
| Organization Legal Name | GREENWICH RADIOLOGICAL GROUP PC |
| Address |
49 Lake Ave Greenwich CT 06830-4501 |
| Phone Number | 2038696220 |
| Gender | F |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436170263 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070018 | GREENWICH HOSPITAL ASSOCIATION - |
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 49 Lake Ave, Greenwich, CT 06830-4501 | 2038696220 | GREENWICH RADIOLOGICAL GROUP PC |
| 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2038633960 | GREENWICH RADIOLOGICAL GROUP PC |
| Organization Legal Name | GREENWICH RADIOLOGICAL GROUP PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Evans | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Benjamin Jacobs May | Interventional Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Erez Salik | Interventional Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Alice Kim | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Linda Latrenta | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| David J Mullen | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Christopher P Fey | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Street Address |
49 LAKE AVE |
| City | GREENWICH |
| State | CT |
| Zip | 06830-4501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Evans | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Sunil Rana | Internal Medicine | 49 Lake Ave, Suite 2, Greenwich, CT 06830-4519 | |
| Benjamin Jacobs May | Interventional Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Bradley Schlussel | Rheumatology | Northeast Medical Group Inc | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Michele Shoshana Bergen | Maxillofacial Surgery | 49 Lake Ave, Greenwich, CT 06830-4501 | |
| Erez Salik | Interventional Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Alice Kim | Diagnostic Radiology | Greenwich Radiological Group PC | 49 Lake Ave, Greenwich, CT 06830-4501 |
| Perry H Lerner | Qualified Audiologist | Greenwich Ear Nose and Throat PC | 49 Lake Ave, Suite 103, Greenwich, CT 06830-4501 |
| Stephen J Salzer | Otolaryngology | Greenwich Ear Nose and Throat PC | 49 Lake Ave, Suite 103, Greenwich, CT 06830-4501 |
| Nazanine Khairkhah | Internal Medicine | 49 Lake Ave, Suite 104, Greenwich, CT 06830-4501 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole S Ferreira | Nurse Practitioner | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| James S Krinsley | Pulmonary Disease | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Paul Sachs | Pulmonary Disease | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Ruby D Desai | Family Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Joann Lodescar | Internal Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Lyuba Kofler | Family Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Anastasia Slobodnick | Internal Medicine | Stamford Health Medical Group Inc | 75 Holly Hill Ln, Suite 201, Greenwich, CT 06830-2912 |
| Scott J Sullivan | Diagnostic Radiology | Radiology Alliance PC | 4 Dewart Rd, Greenwich, CT 06830-3417 |
| Joseph M Bellapianta | Orthopedic Surgery | Bellapianta Orthopaedics and Sports Medicine LLC | 49 Lake Ave, Suite 230, Greenwich, CT 06830-4501 |
| Michelle S Marrinan | Otolaryngology | Greenwich Ear Nose and Throat PC | 49 Lake Ave, Suite 103, Greenwich, CT 06830-4501 |
| Find all physicians in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GREENWICH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Lisa J. Mao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.