Lisa J Blake (NPI# 1215153168, PAC ID# 8325179807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1215153168 |
| PAC ID by PECOS | 8325179807 |
| Professional Enrollment ID | I20100628000233 |
| Full Name | Lisa J Blake |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Address |
4300 Fayetteville Rd Lumberton NC 28358-2677 |
| Phone Number | 9106083078 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 7012058548 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 295 W 27th St, Lumberton, NC 28358-3016 | 9107395550 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 9106083078 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby Alysse Gaskell | Physician Assistant | Southeastern Regional Physician Services | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 |
| Steven K Jernigan | Nurse Practitioner | Southeastern Regional Physician Services | 9858 Wr Lathan Dr, Clarkton, NC 28433-9255 |
| Joshua J Ruiz | Internal Medicine | Southeastern Regional Physician Services | 1200 Pine Run Dr, Lumberton, NC 28358-2180 |
| Andrew M Freeman | Family Medicine | Southeastern Regional Physician Services | 730 Oakridge Blvd, Lumberton, NC 28358-2324 |
| Debra B Beasley | Nurse Practitioner | Southeastern Regional Physician Services | 295 W 27th St, Lumberton, NC 28358-3016 |
| Melanie K Bauer | Physician Assistant | Southeastern Regional Physician Services | 105 W 27th St, Lumberton, NC 28358-3075 |
| Roberto Jose Arias Gautreaux | General Surgery | Southeastern Regional Physician Services | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 |
| Patricia Lyn Matto | Family Medicine | Southeastern Regional Physician Services | 2905 N Elm St, Lumberton, NC 28358-2982 |
| Saksith Smithason | Neurosurgery | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Street Address |
4300 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip | 28358-2677 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Webb | Obstetrics/gynecology | Southeastern Regional Physician Services | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Lashauna R Deese | Obstetrics/gynecology | Southeastern Regional Physician Services | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Donald R Mckinley | Obstetrics/gynecology | Southeastern Regional Physician Services | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Melissa C Brooks | Obstetrics/gynecology | Southeastern Regional Physician Services | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Connie L Canady | Certified Nurse Midwife (cnm) | Southeastern Regional Physician Services | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Marla J Hardenbergh | Obstetrics/gynecology | Southeastern Regional Physician Services | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Allen | Orthopedic Surgery | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Bonnie W Skiadiotis | Nurse Practitioner | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Chris Evan Estrellado | Physical Therapy | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| James W Dove | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Mary Elizabeth Devine | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Kenneth C Madlangbayan | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| James R Pope Jr. | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Holly H Metzerott | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Jianfeng Zeng | Neurology | 4850 Fayetteville Rd E, Lumberton, NC 28358-2100 | |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Find all physicians in zip 28358 | |||
| City | LUMBERTON |
| Zip Code | 28358 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | LUMBERTON + CERTIFIED NURSE MIDWIFE (CNM) |
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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.