Lisa M Shaw (NPI# 1194049908, PAC ID# 3173702685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1194049908 |
| PAC ID by PECOS | 3173702685 |
| Professional Enrollment ID | I20110128000546 |
| Full Name | Lisa M Shaw |
| Organization Legal Name | AMBULATORY ANESTHESIA ASSOCIATES |
| Address |
6355 Walker Ln Suite 200 Alexandria VA 22310-3246 |
| Phone Number | 7039229501 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2264320829 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 | 7039229501 | AMBULATORY ANESTHESIA ASSOCIATES |
| 3300 Gallows Rd, Falls Church, VA 22042-3307 | 7033529395 | AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC |
| Organization Legal Name | AMBULATORY ANESTHESIA ASSOCIATES |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara L Rosenthal | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Kelsey R Schulman | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Prashant A Patel | Anesthesiology | Ambulatory Anesthesia Associates | 61 Main St, Suite D, West Orange, NJ 07052-5353 |
| Gordon Ellery Sims | Anesthesiology | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Ola Kotys | Anesthesiology | Ambulatory Anesthesia Associates | 61 Main St, Suite D, West Orange, NJ 07052-5353 |
| Terry R Dickinson | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Street Address |
6355 WALKER LN SUITE 200 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22310-3246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara L Rosenthal | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Nasir A Aziz | Dermatology | Allphases Dermatology LLC | 6355 Walker Ln, Suite 311, Alexandria, VA 22310-3258 |
| Kelsey R Schulman | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Ogechukwu C Onwudiwe | Dermatology | Allphases Dermatology LLC | 6355 Walker Ln, Suite 311, Alexandria, VA 22310-3258 |
| Michaela Guild | Nurse Practitioner | National Rehabilitation Hospital Inc | 6355 Walker Ln, Suite 512, Alexandria, VA 22310-3251 |
| Courtney Jc Raizman | Otolaryngology | Loudoun Medical Group PC | 6355 Walker Ln, Suite 308, Alexandria, VA 22310-3247 |
| Tracy V Fulton | Neurology | Integrated Neurology Services | 6355 Walker Ln, Suite 313, Alexandria, VA 22310-3258 |
| Jennifer K Wu | Gastroenterology | Loudoun Medical Group PC | 6355 Walker Ln, Suite 303, Alexandria, VA 22310-3247 |
| Curtis M Henn | Hand Surgery | National Rehabilitation Hospital Inc | 6355 Walker Ln, Suite 512, Alexandria, VA 22310-3251 |
| Gordon Ellery Sims | Anesthesiology | Ambulatory Anesthesia Associates | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina S Michael | Internal Medicine | 6355 Walker Lane, Suite 505, Alexandria, VA 22310 | |
| Kimberly P Ho | Optometry | May and Hettler Od PC | 6098 Franconia Rd, Alexandria, VA 22310-1742 |
| Amy M Combs | Optometry | May and Hettler Od PC | 6098 Franconia Rd, Alexandria, VA 22310-1742 |
| Audrey Elkinson | Clinical Social Worker | Thrive Counseling LLC | 6076 Franconia Rd, Alexandria, VA 22310-1768 |
| Laney Stenquist | Clinical Social Worker | Thrive Counseling LLC | 6076 Franconia Rd, Suite D, Alexandria, VA 22310-1768 |
| Alaina King-harvey | Clinical Social Worker | Thrive Counseling LLC | 6076 Franconia Rd, Suite D, Alexandria, VA 22310-1768 |
| Kristi Gannon | Clinical Social Worker | Thrive Counseling LLC | 6076 Franconia Rd, Suite D, Alexandria, VA 22310-1768 |
| George P Silis | Internal Medicine | Franconia Internists, PC | 5115 Franconia Rd G, Alexandria, VA 22310-1903 |
| Manny P Silis | Internal Medicine | Franconia Internists, PC | 5115 Franconia Rd G, Alexandria, VA 22310-1903 |
| Nancy E Johnson | Nurse Practitioner | Franconia Internists, PC | 5115 Franconia Rd G, Alexandria, VA 22310-1903 |
| Find all physicians in zip 22310 | |||
| City | ALEXANDRIA |
| Zip Code | 22310 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ALEXANDRIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.