Lisa M Kistner (NPI# 1114919727, PAC ID# 8022086867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114919727 |
| PAC ID by PECOS | 8022086867 |
| Professional Enrollment ID | I20040920001176 |
| Full Name | Lisa M Kistner |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Address |
4610 Country Club Rd Winston Salem NC 27104-3520 |
| Phone Number | 3367162255 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4486564952 |
| Number of Group Practice Members | 1931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340047 | NORTH CAROLINA BAPTIST HOSPITAL |
| 340187 | DAVIE MEDICAL CENTER |
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1930 N Peace Haven Rd, Winston Salem, NC 27106-4817 | 3367605400 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| 4610 Country Club Rd, Winston Salem, NC 27104-3520 | 3367162255 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 3367162255 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 3367163926 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| 7990 N Point Blvd, Winston Salem, NC 27106-3259 | 3368961100 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Medical Ctr Blvd, Winston Salem, NC 27157-0001 | 3367162734 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Physicians | 1979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Joyce Kemp | Certified Nurse Midwife (cnm) | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Purvi Dilip Surti | Nurse Practitioner | Wake Forest University Health Sciences | 611 N Lindsay St, Suite 200, High Point, NC 27262-4318 |
| Luke Daniel Spencer | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Randall Stephan Conrad | Internal Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Kaila Renea Haskins | Nurse Practitioner | Wake Forest University Health Sciences | 618 S Main St, Reidsville, NC 27320-5020 |
| Kandi Byrd Sams | Nurse Practitioner | Wake Forest University Health Sciences | 799 Hickory Tree Rd, Suite B, Winston-salem, NC 27127-9243 |
| Cory Aaron Alcon | Physical Therapy | Wake Forest University Health Sciences | 755 Highland Oaks Dr, Suite 240, Winston Salem, NC 27103-7106 |
| Brandy Lanette Younts-davis | Nurse Practitioner | Wake Forest University Health Sciences | 306 Westwood Ave, Suite 401, High Point, NC 27262-4342 |
| David A Crowe | Family Medicine | Wake Forest University Health Sciences | 171 W Wilkes Medical Ctr Rd, Ferguson, NC 28624-8925 |
| Street Address |
4610 COUNTRY CLUB RD |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27104-3520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy J Mcmichael | Dermatology | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Stephanie Jane Myers | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Jamy D Ard | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Nadia Eksir Hensel | Optometry | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Joseph Anthony Aloi | Endocrinology | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Manrique Alvarez | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Rita O Pichardo Geisinger | Dermatology | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Sujethra Vasu | Cardiovascular Disease (cardiology) | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Sanjay K Gandhi | Interventional Cardiology | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Anne R Morris | Nurse Practitioner | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Venezela Thomas Slade-hartman | Family Medicine | Physicians Eldercare Pa | 1240 Arbor Rd, Winston Salem, NC 27104-1106 |
| Christopher M Herman | Internal Medicine | Physicians Eldercare Pa | 1240 Arbor Rd, Winston Salem, NC 27104-1106 |
| Julie A Everidge | Physician Assistant | Physicians Eldercare Pa | 1240 Arbor Rd, Winston Salem, NC 27104-1106 |
| Amy B Wall | Ophthalmology | 1214 Reynolda Rd A, Winston Salem, NC 27104-1151 | |
| Tracey E O Connell | Diagnostic Radiology | Argus Radiology Consultants LLC | 2840 Reynolds Dr, Winston Salem, NC 27104-1904 |
| Boyd Bennett Gasque Jr. | Diagnostic Radiology | Argus Radiology Consultants LLC | 2840 Reynolds Dr, Winston Salem, NC 27104-1904 |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Temple Vashti Day | Internal Medicine | Wake Forest University Health Sciences | 4614 Country Club Rd, Winston Salem, NC 27104-3520 |
| Lindsay C Strowd | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| William Yates Rice | Internal Medicine | Wake Forest University Health Sciences | 4610 Country Club Rd, Winston Salem, NC 27104-3520 |
| Find all physicians in zip 27104 | |||
| City | WINSTON SALEM |
| Zip Code | 27104 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WINSTON SALEM + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lisa M Kistner.
| 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.