DR. LISA ANN WILSON (NPI# 1336223833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336223833 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN WILSON |
| Credential | M.D. |
| Practice Address |
2525 W University Ave Ste 402 Muncie IN 47303-3409 |
| Mailing Address |
3500 W Purdue Ave Muncie IN 47304-6357 |
| Practice Telephone | 7657476090 |
| Practice Fax Number | 7657475069 |
| Mailing Telephone | 7657476090 |
| Mailing Fax Number | 7657475069 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01044182 | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1386282358 | Lisa May Wilson | Registered Nurse | 563 Landings Blvd, Ann Arbor, MI 48103-2715 | 2019-12-20 |
| 1720507163 | Lisa M Wilson | Massage Therapist | 19833 Road 124, Tulare, CA 93274-9597 | 2017-09-18 |
| 1639535545 | Lisa Wilson | Social Worker | 12004 Lansdowne Rd, Austin, TX 78754-5873 | 2016-01-07 |
| 1073809018 | Lisa Zobrist Wilson | Nurse Practitioner | 10844 Thistlewood Dr, Baton Rouge, LA 70810-2921 | 2011-06-28 |
| 1215178777 | Lisa Wilson | Counselor | 4826 5th St Nw, Washington, DC 20011-6107 | 2009-03-13 |
| 1235386699 | Lisa Elaine Wilson | Counselor | 1052 Gardner Rd Ste 700, Charleston, SC 29407-5702 | 2008-08-27 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1295918076 | Lisa Ann Wilson | Anesthesiology | 304 S Jones Blvd, Las Vegas, NV 89107-2623 | 2007-12-14 |
| 1518175629 | Lisa Dawn Wilson | Occupational Therapist | 550 Thornton Pkwy Unit 110, Thornton, CO 80229-2166 | 2007-05-21 |
| Street Address |
2525 W UNIVERSITY AVE STE 402 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053339408 | Robert Alexander Muller | Specialist | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2006-07-17 |
| 1578615266 | University Dermatology Center PC | Specialist | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2007-01-16 |
| 1265516751 | Laine Elam | Physician Assistant | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811901184 | Alexander Zemtsov | Dermatology | 3500 W Purdue Ave, Muncie, IN 47304-6357 | 2006-07-29 |
| 1417912528 | Deborah Sue Kuhlman | Dermatology | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2006-04-20 |
| 1285605626 | Michael K Crider | Dermatology | 3310 W Purdue Avenue, Muncie, IN 47304-6355 | 2006-02-01 |
| 1336141399 | Stephan Robert Sawicki | Dermatology | 1808 W Royale Dr, Muncie, IN 47304-2243 | 2005-06-02 |
| 1477647303 | Dermatology Clinic of Muncie, Inc. | Dermatology | 1808 W Royale Dr, Muncie, IN 47304-2243 | 2006-10-03 |
| 1710943410 | Terry Weston Marsh | Dermatology | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2006-04-22 |
| 1386600088 | Steve George Bekas | Dermatology | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2006-04-22 |
| 1609832377 | Drew Munson Anderson | Dermatology | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2006-04-21 |
| 1902861016 | Lifetime Skin Care Centers, LLC | Dermatology | 401 W Mcgalliard Rd, Muncie, IN 47303-1828 | 2006-04-20 |
| 1487656443 | Charles William Bartholome | Dermatology | 1808 W Royale Dr, Muncie, IN 47304-2243 | 2005-06-02 |
| Find all providers in MUNCIE | ||||
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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.