LISA M MORAVAC (NPI# 1003997925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003997925 |
| Entity Type | Individual |
| Full Name | LISA M MORAVAC |
| Other Name | LISA M CASEY |
| Credential | PA-C |
| Practice Address |
1509 W Truman Rd Independence MO 64050-3436 |
| Mailing Address |
Po Box 838 Shawnee Mission KS 66201-0838 |
| Practice Telephone | 8168366901 |
| Practice Fax Number | 8168364460 |
| Mailing Telephone | 9134694244 |
| Mailing Fax Number | 9134691939 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2005022710 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2005022710 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1509 W TRUMAN RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64050-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131208 | Aulton Dale Chisum | Emergency Medicine | 1509 W Truman Rd, Emergency Department, Independence, MO 64050-3436 | 2005-11-17 |
| 1508947938 | Rebecca D Crawford | Physician Assistant | 1509 W Truman Rd, Independence, MO 64050-3436 | 2006-10-19 |
| 1841372273 | Phillip Scott Gilliam | Physician Assistant | 1509 W Truman Rd, Independence, MO 64050-3436 | 2006-10-19 |
| 1982672432 | Frank R Demarco | Emergency Medicine | 1509 W Truman Rd, Independence, MO 64050-3436 | 2006-03-10 |
| 1467436691 | Harry E Kleiner | Emergency Medicine | 1509 W Truman Rd, Emergency Department, Independence, MO 64050-3436 | 2005-12-01 |
| 1174505580 | Thomas R Coughlin Jr. | Emergency Medicine | 1509 W Truman Rd, Emergency Department, Independence, MO 64050-3436 | 2005-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698024 | Joshonna Price | Occupational Therapy Assistant | 810 E Walnut, Independence, MO 64050 | 2014-12-19 |
| 1003151770 | Melinda Stegner | Registered Nurse | 3445 South 291 Hwy, Ste 300, Independence, MO 64050 | 2012-12-06 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1568790749 | Charity Faith Morris | Case Manager/Care Coordinator | 314 E Pacific Avenue, Independence, MO 64050 | 2009-11-25 |
| 1225276090 | Best Smile, LLC | Dentist | 651 E 24 Hwy, Independence, MO 64050 | 2009-02-01 |
| 1396982468 | Independence Avenue Dental LLC | Clinic/Center | 1638 West 24 Highway, Independence, MO 64050 | 2009-01-12 |
| 1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
| 1992871883 | Stephen Ervin Dorsch | Family Medicine | 1638 W 24 Hwy, Independence, MO 64050 | 2006-11-24 |
| 1831284801 | Ronald Eugene Jennings | Dentist | 514 S Noland Road, Noland Medical Plaza Suite 120, Independence, MO 64050 | 2006-10-04 |
| 1841393782 | Carmel Hills Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 810 East Walnut, Independence, MO 64050 | 2006-09-06 |
| Find all providers in zip 64050 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394641 | Tyler Wilke | Physician Assistant | 4956 Sundance Dr, Independence, KY 41051-7427 | 2020-07-27 |
| 1760956908 | Jonathan Richard Murach | Physician Assistant | 6988 Ivandale Rd, Independence, OH 44131-5323 | 2019-01-21 |
| 1164404539 | Deborah Katherine Corbin | Physician Assistant | 6701 Rockside Rd Ste 350, Independence, OH 44131-2351 | 2005-11-18 |
| 1245791557 | Danielle Marie Cooper | Physician Assistant | 815 N Noland Rd Ste 6, Independence, MO 64050 | 2019-03-28 |
| 1083171292 | Abbie Mae Obrien | Physician Assistant | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2019-02-24 |
| 1801389267 | Advanced Urologic Associates, Inc | Physician Assistant | 19001 E 48th St S, Independence, MO 64055-6964 | 2018-06-11 |
| 1174994511 | White Crystal Emergency Physicians, LLC | Physician Assistant | 19600 E 39th St S, Independence, MO 64057-2301 | 2015-10-12 |
| 1184094542 | Corrine Bricher | Physician Assistant | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2015-09-29 |
| 1235522244 | Jacquelynn Mary Shank | Physician Assistant | 5001 Rockside Rd, Independence, OH 44131 | 2015-03-16 |
| 1053732248 | Jackson Drive Emergency Physicians LLC | Physician Assistant | 19600 E 39th St S, Independence, MO 64057-2301 | 2013-12-15 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64050 |
Please comment or provide details below to improve the information on LISA M MORAVAC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.