DR. LISA HALLER (NPI# 1245204858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245204858 |
| Entity Type | Individual |
| Full Name | DR. LISA HALLER |
| Credential | M.D. |
| Practice Address |
5650 N Green Bay Ave Ste 100 Glendale WI 53209-4447 |
| Mailing Address |
2514 S 102nd St Suite 120 West Allis WI 53227-2142 |
| Practice Telephone | 4144315971 |
| Practice Fax Number | 4144340354 |
| Mailing Telephone | 4147775200 |
| Mailing Fax Number | 4147775210 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
43090 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34072700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 532153660 | 4143837744 | 4143838089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683917 | Lisa Haller | Home Health Aide | 6465 Ridgewood St Sw, Canton, OH 44706-3141 | 2020-09-13 |
| Street Address |
5650 N GREEN BAY AVE STE 100 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659390896 | Janine Marie Lapp | Nurse Practitioner | 5650 N Green Bay Ave Ste 100, Glendale, WI 53209-4447 | 2006-07-19 |
| 1174597488 | Stephen Glenn Sievers | Internal Medicine | 5650 N Green Bay Ave Ste 100, Glendale, WI 53209-4447 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1275918211 | Akdhc, LLC | Internal Medicine | 18699 N 67th Ave Ste 280, Glendale, AZ 85308-7149 | 2015-07-20 |
| 1053708511 | Rishi Kora | Internal Medicine | 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | 2015-04-22 |
| 1518156942 | Akdhc, LLC | Internal Medicine | 5750 W Thunderbird Rd Ste G790, Glendale, AZ 85306-4678 | 2007-10-22 |
| 1174716765 | Sarbani Bhaduri | Internal Medicine | 661 Woodbury Rd, Glendale, CA 91206-2649 | 2007-08-27 |
| 1265406516 | Kamal Amin | Internal Medicine | 5650 N Green Bay Ave, Suite 100, Glendale, WI 53209-4446 | 2006-02-14 |
| 1639156466 | Abdul R Abukurah | Internal Medicine | 1818 Verdugo Boulevard, Suite 303, Glendale, CA 91208 | 2005-12-22 |
| 1831170950 | Duc Cong Bui | Internal Medicine | 801 S Chevy Chase Dr Ste 101, Glendale, CA 91205-4437 | 2005-11-07 |
| 1790788354 | Savas Petrides | Internal Medicine | 6220 W Bell Rd Ste 110, Glendale, AZ 85308-3896 | 2005-05-27 |
| Find all providers in GLENDALE | ||||
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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.