LISA M O CONNOR (NPI# 1134115868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134115868 |
| Entity Type | Individual |
| Full Name | LISA M O CONNOR |
| Other Name | LISA S BARTLETT |
| Credential | RPA C |
| Practice Address |
118 Main St Saranac Lake NY 12983-1705 |
| Practice Telephone | 5188914000 |
| Practice Fax Number | 5188912598 |
| Mailing Telephone | 5188914000 |
| Mailing Fax Number | 5188912598 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005477 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02315180 | 05 | |
| DEA | MB0344135 | 01 |
| Street Address |
118 MAIN ST |
| City | SARANAC LAKE |
| State | NY |
| Zip Code | 12983-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621912 | Leo Anthony Waickman | Internal Medicine | 118 Main St, Saranac Lake, NY 12983-1705 | 2005-09-27 |
| 1255328985 | Jay S Federman | Family Medicine | 118 Main St, Saranac Lake, NY 12983-1705 | 2005-09-27 |
| 1043206766 | Patricia W Allott | Nurse Practitioner | 118 Main St, Saranac Lake, NY 12983-1705 | 2005-09-27 |
| 1447246178 | Dorothy S Federman | Family Medicine | 118 Main St, Saranac Lake, NY 12983-1705 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013486315 | Aisha Dominique Wood | Physical Therapist | 2233 Ny-86, Saranac Lake, NY 12983 | 2018-11-15 |
| 1215357132 | Ashley Garwood | Occupational Therapist | 38 Tahoma Road, Saranac Lake, NY 12983 | 2014-04-17 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1265797013 | Danielle Carr | Counselor | 28 Bernard Street, Saranac Lake, NY 12983 | 2012-07-09 |
| 1275807489 | Deborah Ann Stevens | Licensed Practical Nurse | 157 Bloomingdale Ave Apt 3, Saranac Lake, NY 12983 | 2012-03-06 |
| 1699085910 | Jessica Evans Jakobe | Speech-Language Pathologist | 141 Petrova Ave, Petrova Elementary, Saranac Lake, NY 12983 | 2010-10-20 |
| 1548407562 | Eve M Burns | Obstetrics & Gynecology | 309 County Route 47 Ste 2, Saranac Lake, NY 12983 | 2009-01-13 |
| 1174735492 | Citizen Advocates Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Shepard Ave Apt. 1, Saranac Lake, NY 12983 | 2007-05-07 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Find all providers in zip 12983 | ||||
| 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 |
|---|---|---|---|---|
| 1609434679 | Nathan A Smith | Physician Assistant | 2233 State Route 86, Emergency Department, Saranac Lake, NY 12983 | 2019-06-04 |
| 1649527060 | Alexa C Pighini | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2012-08-06 |
| 1285989806 | Julie Anne Loving | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2012-07-19 |
| 1639379183 | Deborah L Zale | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-07-23 |
| 1801098538 | Dana Vandorn | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-06-04 |
| 1851427603 | David J. Griffin | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-02-26 |
| 1902958911 | Kristeen Marie Colby | Physician Assistant | 354 Broadway, Saranac Lake, NY 12983-1146 | 2007-01-18 |
| 1255495255 | Gary A Nye | Physician Assistant | 2233 State Route 86, Adirondack Medical Center, Saranac Lake, NY 12983-5644 | 2006-12-21 |
| 1174515209 | Thomas P Mcbride | Physician Assistant | 309 County Route 47, Suite #4, Saranac Lake, NY 12983-5405 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SARANAC LAKE |
| Zip Code | 12983 |
Please comment or provide details below to improve the information on LISA M O CONNOR.
| 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.