LISA FRANCESCA LICHOTA (NPI# 1134194251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134194251 |
Entity Type | Individual |
Full Name | LISA FRANCESCA LICHOTA |
Credential | D.O. |
Practice Address |
1005 Grove Rd Greenville SC 29605-4630 |
Mailing Address |
Po Box 484 Easley SC 29641-0484 |
Practice Telephone | 8644043094 |
Practice Fax Number | 8642426517 |
Mailing Telephone | 8645464497 |
Mailing Fax Number | 8645464506 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2017-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A-1400-07 | NM | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
36739 | SC | Allopathic & Osteopathic Physicians |
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
34-00-3364-L | OH | Allopathic & Osteopathic Physicians |
Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
36739 | SC | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 36739 | SC | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
34-003364 | OH | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
34-003364 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 367427 | 05 | |
SC | MEDICAL LICENSE | 36739 | 01 |
Street Address |
1005 GROVE RD |
City | GREENVILLE |
State | SC |
Zip Code | 29605-4630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326045642 | Arthur E Jordan | Psychiatry & Neurology | 1005 Grove Rd, Greenville, SC 29605-4630 | 2005-07-01 |
1306177019 | Mcc, Inc. | Social Worker | 1005 Grove Rd, Greenville, SC 29605-4630 | 2010-01-19 |
1104013614 | Brant Walton Turner | Physician Assistant | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-09-28 |
1083814438 | Oaktree Medical Centre, PC | Clinic/Center | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-07-24 |
1902953201 | Sybil C. Harrelson | Nurse Practitioner | 1005 Grove Rd, Greenville, SC 29605-4630 | 2007-01-05 |
1336126879 | Eric A. Harrell | Chiropractor | 1005 Grove Rd, Greenville, SC 29605-4630 | 2005-12-27 |
1588656185 | Upstate Cardiology Pa | Internal Medicine | 1005 Grove Rd, Greenville, SC 29605-4630 | 2005-08-19 |
1831181486 | Christopher H. Smith | Internal Medicine | 1005 Grove Rd, Greenville, SC 29605-4630 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
Find all providers in zip 29605 |
Taxonomy Code | 2084P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Pain Medicine |
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952531642 | Eastern Headache and Spine, Pa | Psychiatry & Neurology | 498 A Red Banks Road, Greenville, NC 27858 | 2009-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134544570 | Sc Pain & Spine Specialists, LLC | Psychiatry & Neurology | 812 Farrar Dr, Suite - B, Conway, SC 29526-8747 | 2014-02-21 |
1992072722 | Tattnall Hospital Company LLC | Psychiatry & Neurology | 16 Okatie Center Blvd S, Suite 201, Okatie, SC 29909-7533 | 2011-11-22 |
1841304870 | Next Step Pain Management | Psychiatry & Neurology | 4033 Highway 17 Bypass, Suite 108, Murrells Inlet, SC 29576 | 2006-08-18 |
1841615283 | Sc Pain & Spine Specialists, LLC | Psychiatry & Neurology | 3600 Sea Mountain Hwy, Suite - B, Little River, SC 29566-8161 | 2014-02-21 |
1346681467 | Sc Pain & Spine Specialists, LLC | Psychiatry & Neurology | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2013-07-17 |
1457648461 | Sabitha Aligeti | Psychiatry & Neurology | 2611 Liberty Hill Rd., Santee-wateree Community Mental Health Center, Camden, SC 29020 | 2011-06-29 |
City | GREENVILLE |
Zip Code | 29605 |
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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.