LISA THORSON WAHLESTEDT (NPI# 1225267750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225267750 |
| Entity Type | Individual |
| Full Name | LISA THORSON WAHLESTEDT |
| Other Name | LISA GAY THORSON |
| Credential | MD |
| Practice Address |
212 Australian Ave Palm Beach FL 33480-4626 |
| Practice Telephone | 5618353875 |
| Mailing Telephone | 5618353875 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
ME 104170 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
212 AUSTRALIAN AVE |
| City | PALM BEACH |
| State | FL |
| Zip Code | 33480-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1780101311 | Michael T. Miles | Counselor | 3230 South Ocean Blvd #606, Palm Beach, FL 33480 | 2017-08-24 |
| 1205247731 | Bradley Van Hoek Psychotherapy Pllc | Community/Behavioral Health | 205 Worth Ave., Suite 201, Palm Beach, FL 33480 | 2014-05-19 |
| 1215353701 | Learning Strides, LLC | Developmental Therapist | 3520 South Ocean Blvd, Apt H503, South Palm Beach, FL 33480 | 2014-03-09 |
| 1407195167 | Judi Cineas | Social Worker | 2875 S. Ocean Blvd, Suite 200, Palm Beach, FL 33480 | 2013-01-31 |
| 1831456011 | Oksun Kalmurz | Physical Therapy Assistant | 3230 South Ocean Blvd #211, Palm Beach, FL 33480 | 2012-04-12 |
| 1881803781 | Jennifer Lyn Rubolino | Counselor | 205 Worth Avenue, Suite 201, Palm Beach, FL 33480 | 2007-05-21 |
| 1477699775 | Michele Stern | Social Worker | 205 Worth Ave, Ste 201, Palm Beach, FL 33480 | 2007-01-30 |
| 1598839110 | Carter A. Pottash | Psychiatry & Neurology | 339 Royal Poinciana Plaza, Suite G, Palm Beach, FL 33480 | 2006-11-17 |
| 1497858054 | Marvin Joseph Babyatsky | Chiropractor | 249 Peruvian Ave, Palm Beach, FL 33480 | 2006-09-07 |
| Find all providers in zip 33480 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1174147193 | Virtu30 Telehealth Services | Preventive Medicine | 1540 16th St Ne, Naples, FL 34120-3447 | 2020-06-05 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1659990521 | Nickson Henry | Preventive Medicine | 4700 Portofino Way Apt 201, West Palm Beach, FL 33409-8174 | 2020-04-10 |
| 1609402619 | Bro Roc, LLC | Preventive Medicine | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-21 |
| 1306353776 | Roxanne Summerville | Preventive Medicine | 1064 N Tamiami Trl Unit 1302, Sarasota, FL 34236-2475 | 2018-01-06 |
| 1659884039 | Donald Joseph Crane | Preventive Medicine | 3125 Merion Dr, Miramar Beach, FL 32550-7887 | 2017-11-08 |
| 1801257183 | Sofia Abigail Funes | Preventive Medicine | 8 Hemlock Circle Ct, Ocala, FL 34472-9092 | 2016-03-14 |
| 1669850640 | Lareece Long | Preventive Medicine | 715 Bellshire Way, Winter Garden, FL 34787-2430 | 2015-05-11 |
| 1770908477 | Robert David Willix Jr. | Preventive Medicine | 501 E Camino Real, Boca Raton, FL 33432-6127 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH |
| Zip Code | 33480 |
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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.