LISA DOUGLASS LYSTAD (NPI# 1023089232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023089232 |
| Entity Type | Individual |
| Full Name | LISA DOUGLASS LYSTAD |
| Credential | MD |
| Practice Address |
23250 Chagrin Blvd Bld 5 Ste 440 Beachwood OH 44122 |
| Mailing Address |
23250 Chagrin Blvd #5 Bldg #5 Suite 440 Beachwood OH 44122 |
| Practice Telephone | 2165141864 |
| Practice Fax Number | 2165141867 |
| Mailing Telephone | 2165141864 |
| Mailing Fax Number | 2165141867 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35061509L | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0884593 | 05 |
| Street Address |
23250 CHAGRIN BLVD BLD 5 STE 440 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869322 | Terrence A. Messerman | Dentist | 23250 Chagrin Blvd, Ste 355, Beachwood, OH 44122-5412 | 2005-05-24 |
| 1528504024 | Susan Elliott Blashka | Counselor | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2017-01-09 |
| 1952855546 | Taylor Adams | Counselor | 23250 Chagrin Blvd, Beachwood, OH 44122-5470 | 2016-08-11 |
| 1275904138 | Kathy Biarsky | Counselor | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2015-10-16 |
| 1912385659 | Heather Greene | Counselor | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2015-05-14 |
| 1962897660 | Jordan Eaton | Marriage & Family Therapist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2015-03-31 |
| 1720407653 | Ilana Wolfson | Nutritionist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2014-04-08 |
| 1225463466 | Ishani Ticinelli | Psychologist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2013-09-06 |
| 1710223490 | Vanessa Fremont | Social Worker | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2012-12-27 |
| 1760739080 | Erin Forehand | Psychologist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1023336476 | Shawn Ashwin Lewis | Ophthalmology | 3401 Enterprise Pkwy Ste 300, Beachwood, OH 44122-7344 | 2010-05-10 |
| 1043203045 | David J Mitchell | Ophthalmology | 24755 Chagrin Blvd, Suite 345, Beachwood, OH 44122-5692 | 2005-08-24 |
| 1265437867 | Michael A Novak | Ophthalmology | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7344 | 2005-06-20 |
| 1124361076 | Matthew Kenneth Adams | Ophthalmology | 3401 Enterprise Pkwy Ste 300, Beachwood, OH 44122-7340 | 2013-03-28 |
| 1649520263 | Daniel T. Weidenthal, M.d.,inc. | Ophthalmology | 25700 Science Park Dr, Suite 190, Beachwood, OH 44122-7319 | 2012-09-11 |
| 1518252915 | Sean Platt | Ophthalmology | 3401 Enterprise Pkwy Ste 300, Beachwood, OH 44122-7340 | 2011-06-14 |
| 1811287220 | Cleveland Eye Care & Surgery, Inc. | Ophthalmology | 24755 Chagrin Blvd, Suite 345, Beachwood, OH 44122-5692 | 2011-04-19 |
| 1518165448 | Llewelyn John Rao | Ophthalmology | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7341 | 2007-07-03 |
| 1649481177 | Western Reserve Ophthalmology Inc | Ophthalmology | 23250 Chagrin Blvd, Suite 440, Beachwood, OH 44122-5470 | 2007-05-25 |
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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.