DR. LISA A DAVIS (NPI# 1013008127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013008127 |
| Entity Type | Individual |
| Full Name | DR. LISA A DAVIS |
| Credential | M.D. |
| Practice Address |
36100 Euclid Ave #490 Willoughby OH 44094-4456 |
| Mailing Address |
10605 Mulberry Rd Chardon OH 44024-8702 |
| Practice Telephone | 4409531818 |
| Practice Fax Number | 4409538653 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 35-06-5167-D | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000127718 | 01 |
| OH | UNITED HEALTH CARE | 1300195 | 01 |
| OH | QUAL CHOICE | 80616 | 01 |
| OH | AETNA | 5143509 | 01 |
| OH | 2027943 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444633 | Lisa Davis | Technician | 595 Trenum Dr, Keyser, WV 26726-7058 | 2020-10-09 |
| 1366054454 | Lisa M Davis | Home Health Aide | 1300 H St Ne Apt 306, Washington, DC 20002-6827 | 2020-08-19 |
| 1689291452 | Lisa Davis | Dietitian, Registered | 5155 Crystal Brook Dr, Morristown, TN 37814-1598 | 2020-06-28 |
| 1760025407 | Lisa Davis | Speech-Language Pathologist | 7121 Wren Ave Nw, North Canton, OH 44720-7054 | 2019-10-25 |
| 1326699869 | Lisa M Davis | Registered Nurse | 295 Sumpter St, Brooklyn, NY 11233-2712 | 2019-09-26 |
| 1194223727 | Lisa Duncan Davis | Dietitian, Registered | 217 Harr Town Rd, Blountville, TN 37617-3830 | 2018-01-29 |
| 1114464708 | Lisa Davis | Nurse Practitioner | 16812 Eldamere Ave, Cleveland, OH 44128-1516 | 2017-01-20 |
| 1639613573 | Lisa Davis | Day Training, Developmentally Disabled Services | 8937 1/2 S Western Ave, Los Angeles, CA 90047-3549 | 2016-12-12 |
| 1275087264 | Lisa Davis | Dental Hygienist | 5901 Stone Pine Rd, Wilmington, DE 19808-1015 | 2016-08-08 |
| 1376919753 | Lisa Davis | Licensed Practical Nurse | 30780 Barrington St, Madison Heights, MI 48071-1834 | 2015-08-19 |
| Street Address |
36100 EUCLID AVE #490 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859497 | Khalil Azem | Otolaryngology | 36100 Euclid Ave, Ste 350, Willoughby, OH 44094-4456 | 2005-08-25 |
| 1649711870 | Sabina Sibi | Nurse Practitioner | 36100 Euclid Ave, #350, Willoughby, OH 44094-4456 | 2017-03-20 |
| 1013310051 | Kimberly Salcer | Nurse Practitioner | 36100 Euclid Ave, Suite 270, Willoughby, OH 44094-4456 | 2014-10-06 |
| 1174963235 | Kristan J. Bryant | Nurse Practitioner | 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 | 2013-07-03 |
| 1427310168 | Cleveland Advanced Surgical LLC | Surgery | 36100 Euclid Ave, Suite 330b, Willoughby, OH 44094-4456 | 2012-06-08 |
| 1558651968 | Cleveland Eye Care & Surgery, Inc. | Ophthalmology | 36100 Euclid Ave, Suite 450, Willoughby, OH 44094-4456 | 2011-04-19 |
| 1922308774 | Eastside Primary Care LLC | Internal Medicine | 36100 Euclid Ave, #430, Willoughby, OH 44094-4456 | 2010-10-27 |
| 1013227628 | George Eli Drogomir | Internal Medicine | 36100 Euclid Ave, Suite 170, Willoughby, OH 44094-4456 | 2010-10-15 |
| 1710295829 | Lake Hospital System | Internal Medicine | 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 | 2010-09-23 |
| 1073839783 | Boris Vinogradsky Md Inc | Surgery | 36100 Euclid Ave, Willoughby, OH 44094-4456 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144406133 | Lake Plastice Surgeons,inc | Plastic Surgery | 36100 Euclid Ave Ste 490, Willoughby, OH 44094-4488 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672439 | Stratus Plastic Surgery LLC | Plastic Surgery | 7227 N High St Ste 256, Worthington, OH 43085-2575 | 2019-10-30 |
| 1467910737 | Sarkos Plastic Surgery LLC | Plastic Surgery | 2662 Elm Rd Bldg C, Cortland, OH 44410-9393 | 2019-03-06 |
| 1710454368 | Surfield Plastic Surgery, LLC | Plastic Surgery | 701 Tyler St Ste 301, Sandusky, OH 44870-3321 | 2018-10-31 |
| 1376931105 | Jacob Keith Crittenden IIi | Plastic Surgery | 621 Tusculum Ave, Cincinnati, OH 45226-1771 | 2015-01-01 |
| 1689910184 | Thomas Eades Shaw | Plastic Surgery | 3480 Roundwood Rd, Chagrin Falls, OH 44022-6636 | 2013-01-02 |
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1427312123 | Carmen Paradis | Plastic Surgery | 10311 Bartholomew Rd, Chagrin Falls, OH 44023-2303 | 2012-06-27 |
| 1639455546 | Mehmet Bozkurt | Plastic Surgery | Cleveland Clinic 9500 Euclid Avenue A60, Cleveland, OH 44195-0001 | 2011-10-25 |
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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| 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.