Lisa A Rose (NPI# 1649508714, PAC ID# 8527192160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649508714 |
| PAC ID by PECOS | 8527192160 |
| Professional Enrollment ID | I20150928000224 |
| Full Name | Lisa A Rose |
| Organization Legal Name | PLANNED PARENTHOOD OF INDIANA AND KENTUCKY INC |
| Address |
1124 Broadway Gary IN 46407-1307 |
| Phone Number | 2198860370 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789759770 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 421 S College Ave, Bloomington Health Center, Bloomington, IN 47403-1514 | 8123360219 | PLANNED PARENTHOOD OF INDIANA AND KENTUCKY INC |
| 1124 Broadway, Gary, IN 46407-1307 | 2198860370 | PLANNED PARENTHOOD OF INDIANA AND KENTUCKY INC |
| Organization Legal Name | PLANNED PARENTHOOD OF INDIANA AND KENTUCKY INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey Leigh Hammel | Nurse Practitioner | Planned Parenthood of Indiana and Kentucky Inc | 2708 Paoli Pike, Suite J, New Albany, IN 47150-5100 |
| Lynne M Clapman | Nurse Practitioner | Planned Parenthood of Indiana and Kentucky Inc | 8102 Kingston St, Suite 100, Avon, IN 46123-6909 |
| Peggy A Ryan | Nurse Practitioner | Planned Parenthood of Indiana and Kentucky Inc | 421 S College Ave, Bloomington Health Center, Bloomington, IN 47403-1514 |
| Street Address |
1124 BROADWAY |
| City | GARY |
| State | IN |
| Zip | 46407-1307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Chube Sr. | General Practice | Chube Medical Corporation | 1701 Broadway, Gary, IN 46407-2238 |
| City | GARY |
| Zip Code | 46407 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARY + NURSE PRACTITIONER |
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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.