LISA A DIPONIO (NPI# 1093897977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093897977 |
| Entity Type | Individual |
| Full Name | LISA A DIPONIO |
| Credential | MD |
| Practice Address |
325 East Eisenhower Pkwy Suite 100 Ann Arbor MI 48108-3364 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349367175 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 4301066405 | MI | Allopathic & Osteopathic Physicians |
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
4301066405 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4138413 | 05 |
| Street Address |
325 EAST EISENHOWER PKWY SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719532 | Regents of The University of Michigan | Physical Medicine & Rehabilitation | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108 | 2006-07-10 |
| 1962696633 | Michelle Ann Meade | Psychologist | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108 | 2007-09-05 |
| 1790989861 | Edward Scott Claflin | Physical Medicine & Rehabilitation | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-3364 | 2007-06-13 |
| 1508088253 | David Joseph Kohns | Physical Medicine & Rehabilitation | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5744 | 2007-05-03 |
| 1548332745 | Jeffrey E Evans | Psychologist | 325 East Eisenhower Pkwy, Suite 300, Ann Arbor, MI 48108-5744 | 2006-11-14 |
| 1457423659 | Michael E Geisser | Psychologist | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108 | 2006-11-14 |
| 1356428981 | Denise G Tate | Psychologist | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108 | 2006-11-01 |
| 1184706061 | Heidi J Haapala | Physical Medicine & Rehabilitation | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-3364 | 2006-10-19 |
| 1770665655 | Andrew J Haig | Physical Medicine & Rehabilitation | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-3364 | 2006-10-19 |
| 1982786869 | Ann Therese Laidlaw | Physical Medicine & Rehabilitation | 325 East Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5744 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154567030 | Janice Chavez | Physical Medicine & Rehabilitation | 4945 Schaefer Rd, Dearborn, MI 48126-3251 | 2008-12-26 |
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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.