DR. LISA ANN ANDRUSCAVAGE (NPI# 1154389757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154389757 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN ANDRUSCAVAGE |
| Credential | DO |
| Practice Address |
101 Elm Ave Se Roanoke VA 24013-2222 |
| Practice Telephone | 5409859840 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
0102201613 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
101 ELM AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734226 | Forrest Lee Tucker | Pathology | 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 | 2005-07-20 |
| 1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
| 1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
| 1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
| 1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959903 | John S Gallagher | Pediatrics | 1906 Bellevue Ave, Suite 13 West, Roanoke, VA 24014 | 2006-02-02 |
| 1750648044 | Danielle Alexis Deines | Pediatrics | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2012-04-12 |
| 1912229592 | Pradeep Siwach | Pediatrics | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2010-02-23 |
| 1093771636 | Karen M Binns-loveman | Pediatrics | 1906 Belleview Ave Se, Neonatology Division -pediatrix Medical Group, Roanoke, VA 24014-1838 | 2006-04-22 |
| 1730143579 | Linda Sue Krell | Pediatrics | 101 Elm Ave Se, 6th Floor Neonatology, Roanoke, VA 24013-2222 | 2006-04-17 |
| 1760445647 | Manuel Angel Peregrino | Pediatrics | 102 Highland Ave Se, Carilion Roanoke Community Hospital Nicu, Roanoke, VA 24013-2256 | 2006-04-10 |
| 1750343059 | Ellen Szego | Pediatrics | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649679754 | Wayne E Hachey | Pediatrics | 11 Laurel Ct, Nellysford, VA 22958-9554 | 2014-08-14 |
| 1942644588 | Shajeer Noorudeen | Pediatrics | 1000 E Broad St # 5-104, Richmond, VA 23219-1930 | 2013-04-25 |
| 1437415833 | Oleksandr Mikhailovich Kudin | Pediatrics | 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 | 2012-04-10 |
| 1598050239 | Valerie Atienza Navarrete | Pediatrics | 13509 Leith Ct, Chantilly, VA 20151 | 2011-06-10 |
| 1699065425 | Jing Fang | Pediatrics | Inova Children's Hospital Nicu, 3300 Gallows Rd, Falls Church, VA 22042 | 2011-04-13 |
| 1952691164 | Melissa Lindsey Macomber-estill | Pediatrics | 4320 Seminary Rd # 3000, Alexandria, VA 22304-1535 | 2011-04-10 |
| 1780914085 | Pediatrix Newborn Hearing Screen LLC | Pediatrics | 4991 Lake Brook Dr, Suite 300, Glen Allen, VA 23060-9290 | 2010-01-08 |
| 1538496807 | Vanaja Nandini Alexander | Pediatrics | 3708 5th St S, Arlington, VA 22204-1681 | 2009-11-06 |
| 1679734412 | Harsh Datta | Pediatrics | 1001 Sam Perry Blvd, 3rd Floor Neonatology Office, Fredericksburg, VA 22401 | 2008-06-24 |
| 1932385606 | Tetyana H Nesterenko | Pediatrics | 5980 Richmond Hwy Apt 1-214, Alexandria, VA 22303-2739 | 2008-01-12 |
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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.