John Lissoway (NPI# 1669673695, PAC ID# 2264571132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1669673695 |
| PAC ID by PECOS | 2264571132 |
| Professional Enrollment ID | I20121011000079 |
| Full Name | John Lissoway |
| Organization Legal Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Address |
301 E Miel De Luna Dr Dan C Trigg Memorial Hospital Tucumcari NM 88401-3810 |
| Phone Number | 5754617000 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9234041708 |
| Number of Group Practice Members | 1027 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320021 | PRESBYTERIAN HOSPITAL |
| 321301 | SOCORRO GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 E Miel De Luna, Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3810 | 5754617000 | PRESBYTERIAN HEALTHCARE SERVICES |
| Organization Legal Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Physicians | 1090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Jamison | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Laura Jane Elder | Psychiatry | Presbyterian Healthcare Services | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 |
| Robyn Hitchcock | Emergency Medicine | Presbyterian Healthcare Services | 1100 Central Ave Se, Albuquerque, NM 87106-4930 |
| Caridad Merkel | Certified Nurse Midwife (cnm) | Presbyterian Healthcare Services | 3630 Las Estancias Dr Sw, Albuquerque, NM 87121-5504 |
| Kimberley B Oldewage | Physician Assistant | Presbyterian Healthcare Services | 4588 Paradise Blvd Nw, Pmg Paradise, Albuquerque, NM 87114-4105 |
| Sherrie Dugas | Nurse Practitioner | Presbyterian Healthcare Services | 5901 Harper Dr Ne, Albuquerque, NM 87109-3589 |
| Hillary Ruth Goodwin | Nurse Practitioner | Presbyterian Healthcare Services | 211 Sudderth Dr, Ruidoso, NM 88345-6002 |
| Sarah E Simmons | Nurse Practitioner | Presbyterian Healthcare Services | 3777 Nm Hwy 528 Ne, Rio Rancho, NM 87144 |
| Julia T. Donovan | Obstetrics/gynecology | Presbyterian Healthcare Services | 2400 Unser Seblvd, 18200 Pmg Ob Gyn At 2400 Unser, Rio Rancho, NM 87124-3392 |
| Eleni Gianacakes | Family Medicine | Presbyterian Healthcare Services | 6100 Pan American Fwy 390, Albuquerque, NM 87109 |
| Street Address |
301 E MIEL DE LUNA DR DAN C TRIGG MEMORIAL HOSPITAL |
| City | TUCUMCARI |
| State | NM |
| Zip | 88401-3810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Perovich | Registered Dietitian Or Nutrition Professional | Presbyterian Healthcare Services | 301 E Miel De Luna, Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3810 |
| Christopher S Loucks | Emergency Medicine | Presbyterian Healthcare Services | 301 E Miel De Luna, Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3810 |
| Michael B West | Cardiac Electrophysiology | Presbyterian Healthcare Services | 301 E Miel De Luna, Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3810 |
| Paul Andrew Campbell | Critical Care (intensivists) | Presbyterian Healthcare Services | 301 E Miel De Luna, Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3810 |
| Scott A Forman | Emergency Medicine | Presbyterian Healthcare Services | 301 E Miel De Luna, Tucumcari, NM 88401-3810 |
| Elizabeth I Harris | Pathology | Presbyterian Healthcare Services | 301 E Miel De Luna, Dr Dan C Trigg Memorial Hospital, Tucumcari, NM 88401-3810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Gaskill | Clinical Social Worker | 706 S 1st St, Suite 111, Tucumcari, NM 88401-2715 | |
| Randal W Brown | Family Medicine | Sunrise Medical Group, PC | 220 S 3rd St, Tucumcari, NM 88401-2802 |
| David Neil Calkins | Anesthesiology | Sunrise Medical Group, PC | 220 S 3rd St, Tucumcari, NM 88401-2802 |
| Amber Nolen | Nurse Practitioner | Sunrise Medical Group, PC | 220 S 3rd St, Tucumcari, NM 88401-2802 |
| Antje Postl | Nurse Practitioner | Sunrise Medical Group, PC | 220 S 3rd St, Tucumcari, NM 88401-2802 |
| Laura Mardo | Nurse Practitioner | Sunrise Medical Group, PC | 220 S 3rd St, Tucumcari, NM 88401-2802 |
| Ross E Hastie | Chiropractic | 1723 S 1st St, Family Chiropractic Center, Tucumcari, NM 88401-3503 | |
| Miguel E Pellerano | Critical Care (intensivists) | Presbyterian Healthcare Services | 402 E Miel De Luna, Tucumcari, NM 88401-3810 |
| Arnold R Atkins | Emergency Medicine | Tucumcari Ess Hospitalist LLC | 301 E Miel De Luna Ave, Tucumcari, NM 88401-3810 |
| Richard B Boxer | Sleep Medicine | Presbyterian Healthcare Services | 402 E Miel De Luna, Tucumcari, NM 88401-3810 |
| Find all physicians in zip 88401 | |||
| City | TUCUMCARI |
| Zip Code | 88401 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TUCUMCARI + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on John Lissoway.
| 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.