Lisa K Smith (NPI# 1366498131, PAC ID# 9830122878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366498131 |
| PAC ID by PECOS | 9830122878 |
| Professional Enrollment ID | I20050912000430 |
| Full Name | Lisa K Smith |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Address |
245 Cherry St Se Suite 100 Grand Rapids MI 49503-4607 |
| Phone Number | 6166853200 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082807961 |
| Number of Group Practice Members | 434 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 | 6166853200 | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Organization Legal Name | ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP |
| Physicians | 453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaipreet Singh Suri | Radiation Oncology | Advantage Health/saint Mary's Medical Group | 250 Cherry St Se, Grand Rapids, MI 49503-4608 |
| Megan Amber Deboer | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 6050 Northland Dr Ne, Suite 1159, Rockford, MI 49341-8279 |
| Lara Baatenburg | Family Medicine | Advantage Health/saint Mary's Medical Group | 950 36th St Sw, Wyoming, MI 49509-3587 |
| Colleen Tillema | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 |
| Melissa Devroy | Clinical Social Worker | Advantage Health/saint Mary's Medical Group | 801 Broadway Ave Nw, Suite 105, Grand Rapids, MI 49504-4462 |
| Paul Dieleman | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Christopher James Davis | Family Medicine | Advantage Health/saint Mary's Medical Group | 1175 Wilson Ave Nw, Walker, MI 49534-6407 |
| Nicole Markiewicz | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 |
| Brianna Kilner | Internal Medicine | Advantage Health/saint Mary's Medical Group | 359 Division Ave S, Grand Rapids, MI 49503-4537 |
| Julia K Walters | Registered Dietitian Or Nutrition Professional | Advantage Health/saint Mary's Medical Group | 10047 Crossroad Sect, Caledonia, MI 49316-7316 |
| Street Address |
245 CHERRY ST SE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49503-4607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik Michael Ratchford | Urology | Urology Associates PC of Grand Rapids | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 |
| Crystal A Zilo | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 245 Cherry St Se, Suite 306, Grand Rapids, MI 49503-4607 |
| Marie Patricia Nizienski | Physician Assistant | Urology Associates PC of Grand Rapids | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 |
| Andola C Mathis | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 245 Cherry St Se, Suite 306, Grand Rapids, MI 49503-4607 |
| Gregory Knoll | Plastic and Reconstructive Surgery | Hand and Plastic Surgery Centre Plc | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 |
| David E Blair | Family Medicine | Advantage Health/saint Mary's Medical Group | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 |
| William T Cullen | Plastic and Reconstructive Surgery | Hand and Plastic Surgery Centre Plc | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 |
| Ronald D Ford | Plastic and Reconstructive Surgery | Hand and Plastic Surgery Centre Plc | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 |
| Emily Olenzek | Family Medicine | Advantage Health/saint Mary's Medical Group | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 |
| Paul A Luce | Plastic and Reconstructive Surgery | Hand and Plastic Surgery Centre Plc | 245 Cherry St Se, Suite 302, Grand Rapids, MI 49503-4607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Appiagyei-dankah | Pediatric Medicine | Spectrum Health Primary Care Partners | 230 Michigan Ave Ne, Grand Rapids, MI 49503 |
| Steven G Hamming | Psychologist, Clinical | 85 Campau Nw, Suite 100, Grand Rapids, MI 49503 | |
| Scott Douglas Hadley | Physical Therapy | 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070 | |
| Doreen T Berrios | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jaclyn Michelle Abbate | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Karen Georgianna O'strander | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Richard E Myers | Psychiatry | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Patrick J Handlin | Physician Assistant | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Courtney E Kozarian | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jillaine A Ruppel | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Find all physicians in zip 49503 | |||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRAND RAPIDS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa K Smith.
| 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.