LISA EKEANYANWU (NPI# 1215430079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215430079 |
| Entity Type | Individual |
| Full Name | LISA EKEANYANWU |
| Credential | MD |
| Practice Address |
401 Quarry Road Stanford CA 94305 |
| Mailing Address |
822 E Lee St Apt 14 Tucson AZ 85719-4064 |
| Practice Telephone | 6507255591 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
401 QUARRY ROAD |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684738 | Jennifer L Derenne | Psychiatry & Neurology | 401 Quarry Road, Stanford, CA 94305-4837 | 2006-05-12 |
| 1093338386 | Erin Gallagher Armer | Psychologist | 401 Quarry Road, Mc 5719, Stanford, CA 94305-5719 | 2020-05-21 |
| 1417418013 | Catherine Shir | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94304 | 2019-03-27 |
| 1205317880 | Samatha Ludin | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Mc 5718, Stanford, CA 94305 | 2018-08-22 |
| 1841794278 | Samuel Ricardo Saenz | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-21 |
| 1770086555 | Nicole Zelin | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-17 |
| 1861995649 | Jonathan David Kawulok Updike | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-17 |
| 1376046144 | Charles Fagundes | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-17 |
| 1699206359 | Jason Tucciarone | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2017-03-24 |
| 1942731906 | Patricia Pop | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2017-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| 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 |
|---|---|---|---|---|
| 1679184410 | Taylor Faulkner | Student in an Organized Health Care Education/Training Program | 2477 Ky Highway 1194, Stanford, KY 40484-8222 | 2020-08-14 |
| 1467078253 | Sachindra Rayamajhi | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # Mc5633, Stanford, CA 94305-2200 | 2020-06-18 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1104445436 | Ravali Annam Reddy | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Hg332, Stanford, CA 94305-5317 | 2020-04-16 |
| 1801415161 | Mohammed Rehman Hayat | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H0342, Stanford, CA 94305-2200 | 2020-04-15 |
| 1912526450 | Michael Timothy Scott | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # S287, Stanford, CA 94305-2200 | 2020-04-14 |
| 1902434244 | Adam Tanaka | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # 3591, Stanford, CA 94305-2200 | 2020-03-31 |
| 1184251373 | Victor Manuel Contreras | Student in an Organized Health Care Education/Training Program | 35 Angell Ct, Stanford, CA 94305-7144 | 2020-03-26 |
| 1548894355 | Karen Rosanna Sheehan | Student in an Organized Health Care Education/Training Program | Stanford Hospital and Clinics, 300 Pasteur Drive, Rm H3589, Stanford, CA 94305-5640 | 2020-03-02 |
| 1831722131 | Bina Wasunga Kakusa | Student in an Organized Health Care Education/Training Program | 265 Campus Dr # G1021, Stanford, CA 94305-5101 | 2020-02-15 |
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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.