LISE WENDY FORESTAL (NPI# 1104453711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104453711 |
Entity Type | Individual |
Full Name | LISE WENDY FORESTAL |
Credential | MD |
Practice Address |
3780 Eisenhower Parkway Macon GA 31206 |
Practice Telephone | 4786335560 |
Mailing Telephone | 4786335560 |
Enumeration Date | 2020-03-24 |
Last Update Date | 2020-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
3780 EISENHOWER PARKWAY |
City | MACON |
State | GA |
Zip Code | 31206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
1407318215 | Philomise Moncion | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
1316470594 | Merlyn J Kaalla | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2017-04-05 |
Find all providers in zip 31206 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760005664 | Jackson Rodgers | Student in an Organized Health Care Education/Training Program | 5a Whispering Pines Ct, Macon, IL 62544-7218 | 2020-05-26 |
1548882780 | Lauren Elizabeth Lewis | Student in an Organized Health Care Education/Training Program | 790 1st St, Macon, GA 31201-6874 | 2020-05-11 |
1639708654 | Nehal Ninad | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln, Macon, GA 31201-2168 | 2020-04-02 |
1346878279 | Albarra Younis | Student in an Organized Health Care Education/Training Program | 6445 Stapleton Rd, Macon, GA 31216-5234 | 2020-03-27 |
1396372496 | Joseph Martin Roberts | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln # 42, Macon, GA 31201-2168 | 2020-03-26 |
1336775204 | Christopher Robin Denham | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Bldg A, Macon, GA 31217-8001 | 2020-03-23 |
1144852856 | Rachel Kathryn Albrecht | Student in an Organized Health Care Education/Training Program | 1500 College St, Macon, GA 31207-1500 | 2020-02-11 |
1710519616 | Elisha Scott | Student in an Organized Health Care Education/Training Program | 1345 Hardeman Ave Apt 415a, Macon, GA 31201-4403 | 2020-02-08 |
1871125179 | Aaron Daniel Brown | Student in an Organized Health Care Education/Training Program | 804 Locust St, Macon, MO 63552-1846 | 2020-02-05 |
1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
Find all providers in MACON |
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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.