ROBERT D. LISOTA (NPI# 1316175862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316175862 |
| Entity Type | Individual |
| Full Name | ROBERT D. LISOTA |
| Credential | PH.D. |
| Practice Address |
2605 Circle Dr Jamestown ND 58401-6905 |
| Practice Telephone | 7012533027 |
| Practice Fax Number | 7012533999 |
| Mailing Telephone | 7012533027 |
| Mailing Fax Number | 7012533999 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 417 | ND | Other Service Providers |
| Street Address |
2605 CIRCLE DR |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043260722 | North Dakota State Hospital | Pharmacy | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2006-05-11 |
| 1447851605 | Susan Jean Anderson | Social Worker | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-11-04 |
| 1861099822 | Tanesha Roehrich | Occupational Therapy Assistant | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-10-02 |
| 1629682992 | Melanie Flynn | Counselor | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-09-03 |
| 1295350114 | Callie Krause | Family Medicine | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-06-16 |
| 1235642653 | Alex Zeitchick | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2017-11-07 |
| 1033556295 | Candida D Hoggarth-baldwin | Nurse Practitioner | 2605 Circle Dr, North Dakota State Hospital, Jamestown, ND 58401-6905 | 2013-05-29 |
| 1467705822 | Ann E Engel | Psychologist | 2605 Circle Dr, Jamestown, ND 58401 | 2012-10-23 |
| 1558407916 | Lynne E. Sullivan | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| 1326184706 | Joseph Belanger | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821532169 | Grace Panebianco | Specialist | 20 Springdale Ave, Jamestown, NY 14701-8528 | 2016-12-06 |
| 1295099711 | Judith Anne Long | Specialist | 25 Blanchard St, Jamestown, NY 14701-3451 | 2012-06-28 |
| 1386905297 | Krystene K Baggiano | Specialist | 25 School Ave, Jamestown, NY 14701-5901 | 2012-06-06 |
| 1598937435 | Yan Liu, M.d., Pllc | Specialist | 212 Front Street, Jamestown, NY 14701 | 2008-04-01 |
| 1538194881 | Shrikant C Bodani | Specialist | 30 Arnold St, Jamestown, NY 14701-7073 | 2006-07-12 |
| 1093138810 | Circulatory Centers New York LLP | Specialist | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2014-01-30 |
| 1992146021 | Kelly Anderson | Specialist | 207 2nd Ave Se, Jamestown, ND 58401-4272 | 2013-07-17 |
| 1649521741 | Michelle Reinagel | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-09-28 |
| 1811248982 | Mary Ann C Sanborn | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-09-28 |
| 1104181643 | Christina L Shaver | Specialist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2012-07-11 |
| Find all providers in JAMESTOWN | ||||
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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.