LISA B CONNERY MD PLLC (NPI# 1275604811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275604811 |
| Entity Type | Organization |
| Organization Name | LISA B CONNERY MD PLLC |
| Practice Address |
1125 N Porter Ave Suite 205 Norman OK 73071-6446 |
| Practice Telephone | 4057014079 |
| Practice Fax Number | 4057012838 |
| Mailing Telephone | 4057014079 |
| Mailing Fax Number | 4057012838 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DAVA BRADLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 4057014079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD16929 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS | 444742697002 | 01 |
| OK | AETNA | 4206638 | 01 |
| Street Address |
1125 N PORTER AVE SUITE 205 |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039645 | Norman Radiology Services, Inc | Radiology | 1125 N Porter Ave, Suite 100, Norman, OK 73071-6443 | 2005-11-04 |
| 1780132373 | Danielle Marie Casey | Nurse Anesthetist, Certified Registered | 1125 N Porter Ave, Ste 301, Norman, OK 73071-6446 | 2016-09-13 |
| 1346663010 | Ronisha Carpenter | Physician Assistant | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2014-01-30 |
| 1003111972 | Jessica Lee Luetkemeyer | Physician Assistant | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2011-01-24 |
| 1386892230 | Norman Endoscopy Center, LLC | Clinic/Center | 1125 N Porter Ave, Suite 206, Norman, OK 73071-6446 | 2008-09-04 |
| 1487829362 | Tony Huu Tran | Student in an Organized Health Care Education/Training Program | 1125 N Porter Ave, Suite 301, Norman, OK 73071-6446 | 2008-04-23 |
| 1780880252 | Serena Mitroo | Internal Medicine | 1125 N Porter Ave, Norman, OK 73071-6446 | 2007-06-22 |
| 1609929660 | Internal Medicine & Geriatric Practice, PC | Internal Medicine | 1125 N Porter Ave, 200, Norman, OK 73071-6443 | 2007-01-20 |
| 1467527044 | Kumar Ennamuri Md PC | Internal Medicine | 1125 N Porter Ave, Suite 101, Norman, OK 73071-6446 | 2006-11-21 |
| 1235222357 | Norman Neurology Inc. | Psychiatry & Neurology | 1125 N Porter Ave, Suite 300, Norman, OK 73071-6446 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1609414168 | Peterson Healthcare LLC | Family Medicine | 540 S Lahoma Ave, Norman, OK 73069-5526 | 2019-12-16 |
| 1871957696 | Shaylea Dawn Beach | Family Medicine | 701 E Robinson St Ste 101, Norman, OK 73071-6652 | 2016-04-07 |
| 1669891008 | Christina Highley | Family Medicine | 3201 W Tecumseh Rd Ste 230, Norman, OK 73072-1820 | 2014-04-14 |
| 1073954608 | Saints Medical Group LLC | Family Medicine | 3700 W Robinson St, Suite 108, Norman, OK 73072-3659 | 2013-07-11 |
| 1992935175 | Michael James Klepper | Family Medicine | 3400 W. Tecumseh Road, Suite 300, Norman, OK 73072 | 2009-07-22 |
| 1346480068 | Healthcare for Her | Family Medicine | 3000 S Berry Rd Ste 100, Norman, OK 73072-7472 | 2009-02-21 |
| 1295911667 | Kathleen E Lewis, Md, Inc | Family Medicine | 1300 Mcgee Dr Ste 100, Norman, OK 73072-5858 | 2008-01-16 |
| 1699978593 | Primary Care Associates of Norman | Family Medicine | 1125 North Porter, Suite 202, Norman, OK 73071 | 2007-06-07 |
| 1245355544 | Larry Alan Burns | Family Medicine | 2453 Wilcox Dr, Norman, OK 73069-3956 | 2007-03-19 |
| Find all providers in NORMAN | ||||
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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.