DR. LISA KURIAN THANJAN (NPI# 1316384381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316384381 |
| Entity Type | Individual |
| Full Name | DR. LISA KURIAN THANJAN |
| Credential | MD |
| Practice Address |
1201 Broad Rock Blvd Richmond VA 23249-5910 |
| Mailing Address |
5432 Hickory Place Way Glen Allen VA 23059-5910 |
| Practice Telephone | 8046755000 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
0101264518 | VA | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
0101264518 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5432 Hickory Place Way, Glen Allen, VA 230595910 | 4109138945 |
| Street Address |
1201 BROAD ROCK BLVD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684480 | Earl M. Rogers I | Pharmacist | 1201 Broad Rock Blvd, Vamc Pharmacy Svc (119), Richmond, VA 23249-0001 | 2005-07-26 |
| 1750981791 | Irene Julia Montero | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1194325068 | Rodrick Dewayne Shinholster | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1902406887 | Akia Johnson | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1982204285 | Shaquana Shanesea Jones | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1396345773 | Freda Sergi | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1548860091 | Curtis Antoine Robb | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1891394326 | Paulette Suzanne Beasley | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1104425636 | Jennifer Lee Vass | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1760099204 | Caitlyn Andree Pittman | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| Find all providers in zip 23249 | ||||
| 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 |
|---|---|---|---|---|
| 1811313943 | Passport Health Holdings, LLC. | Preventive Medicine | 2812 Emerywood Parkway, #160, Richmond, VA 23294 | 2014-03-13 |
| 1184998478 | Heidi Marie Bauer | Preventive Medicine | 850 Marina Bay Pkwy # P-2, Richmond, CA 94804-6403 | 2012-03-04 |
| 1912273335 | Duc Jackson Vugia | Preventive Medicine | 850 Marina Bay Pkwy, Building P, 2nd Floor, Richmond, CA 94804-6403 | 2012-03-29 |
| 1720374192 | Carrie Regnolds Jones | Preventive Medicine | 850 Marina Bay Pkwy, Bldg.p, Third Floor, Richmond, CA 94804 | 2011-06-23 |
| 1699905281 | Donald R Stern | Preventive Medicine | 400 E Cary St, Richmond, VA 23219-3816 | 2009-07-17 |
| 1922142934 | Robert Bruce Stroube | Preventive Medicine | 109 Governor St, 13th Floor, Richmond, VA 23219-3623 | 2007-02-16 |
| 1346391406 | Laura Garawski Forlano | Preventive Medicine | 109 Governor St, Madison Building, 6th Floor, Richmond, VA 23219-3623 | 2007-01-16 |
| 1386652162 | Lilian R Peake | Preventive Medicine | 109 Governor St, Richmond, VA 23219 | 2006-08-04 |
| 1811937923 | David Earl Suttle | Preventive Medicine | 109 Governor St, 7th Floor, Richmond, VA 23219-3623 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792403 | Elaine Stanek Perry | Preventive Medicine | 45201 Research Pl Ste 120, Ashburn, VA 20147-2416 | 2020-02-19 |
| 1629546379 | Chang-i Wu | Preventive Medicine | 1530 Clarendon Blvd Apt 700, Arlington, VA 22209-4315 | 2018-11-09 |
| 1922541523 | Gregory Burkhart | Preventive Medicine | 12224 Quorn Ln, Reston, VA 20191-2635 | 2016-11-30 |
| 1114380359 | Sean C Mabey | Preventive Medicine | 2608 Nestlebrook Trl, Virginia Beach, VA 23456-8201 | 2016-04-04 |
| 1407269723 | Kim Xuan Luk | Preventive Medicine | 4480 King St Fl 3, Alexandria, VA 22302-1300 | 2014-06-04 |
| 1225458581 | Barbara Louise Johnson | Preventive Medicine | 412 W Stuart Dr, Galax, VA 24333-2737 | 2014-04-24 |
| 1518397405 | Passport Health Holdings LLC | Preventive Medicine | 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 | 2013-11-14 |
| 1679827687 | James J James | Preventive Medicine | 16422 Wanderers Port Lane, Onancock, VA 23417 | 2012-10-30 |
| 1851667091 | Robert Peter Kadlec | Preventive Medicine | 2209 Traies Ct, Alexandria, VA 22306-2564 | 2012-03-31 |
| 1366728610 | Randall Culpepper | Preventive Medicine | 2034 Eisenhower Ave, Suite 270, Alexandria, VA 22314-5326 | 2011-11-01 |
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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.