DR. LISA DIANE MACEK (NPI# 1245521889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245521889 |
| Entity Type | Individual |
| Full Name | DR. LISA DIANE MACEK |
| Other Name | DR. LISA DIANE RYAN |
| Credential | M.D. |
| Practice Address |
2950 S Elm Pl Suite 160 Broken Arrow OK 74012-7877 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
| Practice Telephone | 9184493750 |
| Practice Fax Number | 9184493755 |
| Mailing Telephone | 9184886001 |
| Mailing Fax Number | 9184886010 |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2014-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28585 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588096762 | Lisa Macek | Physical Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2013-07-30 |
| Street Address |
2950 S ELM PL SUITE 160 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-7877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865361 | Riley Mark Hill | Internal Medicine | 2950 S Elm Pl, Suite 256, Broken Arrow, OK 74012-7877 | 2005-07-14 |
| 1487151106 | Stephani Brooke Brisbin | Physician Assistant | 2950 S Elm Pl, Broken Arrow, OK 74012-7877 | 2018-04-09 |
| 1417388091 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 2950 S Elm Pl, Ste E456, Broken Arrow, OK 74012-7877 | 2013-12-06 |
| 1700141116 | John Robert Palmore Jr. | Physician Assistant | 2950 S Elm Pl, Suite 120, Broken Arrow, OK 74012-7877 | 2012-07-11 |
| 1902126188 | Jason Deck | Family Medicine | 2950 S Elm Pl, Suite 120, Broken Arrow, OK 74012-7877 | 2010-06-10 |
| 1265756308 | Vic H. Trammell Dmd, PC | Dentist | 2950 S Elm Pl, Suite 340, Broken Arrow, OK 74012-7877 | 2010-03-18 |
| 1467686717 | Rim Tabbaa | Internal Medicine | 2950 S Elm Pl, Suite 260, Broken Arrow, OK 74012-7877 | 2009-05-14 |
| 1194980888 | James Edward Meissen | Family Medicine | 2950 S Elm Pl, Suite 120, Broken Arrow, OK 74012-7877 | 2008-07-23 |
| 1023296746 | Felicia Renee' Lee | Internal Medicine | 2950 S Elm Pl, Suite 260, Broken Arrow, OK 74012-7877 | 2008-02-05 |
| 1003021130 | Carol Ann Belcher | Physical Therapist | 2950 S Elm Pl, #456 Broken Arrow Orthopedics, Broken Arrow, OK 74012-7863 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1265879175 | Broken Arrow Pediatrics, LLC | Pediatrics | 1220 N Elm Pl, Broken Arrow, OK 74012-1616 | 2013-05-31 |
| 1922173475 | Elizabeth Anne Mccutcheon | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2006-11-21 |
| 1578500385 | Carl Erwin Pfanstiel | Pediatrics | 1220 N Elm Place, Broken Arrow, OK 74012 | 2006-06-01 |
| 1265052369 | Bright Future Pediatrics | Pediatrics | 817 S Elm Pl Ste 106, Broken Arrow, OK 74012-5369 | 2020-04-20 |
| 1164586038 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-12-21 |
| 1063576452 | Ahs Oklahoma Physician Group,llc | Pediatrics | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-12-20 |
| 1861587289 | Nidhi Koul | Pediatrics | 2617 S. Elm Place, Broken Arrow, OK 74012-7850 | 2006-10-03 |
| 1174572838 | Suresh Bharani | Pediatrics | 3300 S Aspen Ave, Suite B, Broken Arrow, OK 74012-7501 | 2006-05-09 |
| 1770550980 | James Perry Ward | Pediatrics | 2950 S Elm Pl, Ste 430, Broken Arrow, OK 74012-7877 | 2006-03-07 |
| 1447237912 | Anne K Harrington | Pediatrics | 2950 S Elm Pl, Ste 430, Broken Arrow, OK 74012-7877 | 2005-12-27 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.