LISA M NEDLEY (NPI# 1366505406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366505406 |
| Entity Type | Individual |
| Full Name | LISA M NEDLEY |
| Other Name | LISA BONNAY |
| Credential | PA-C |
| Practice Address |
27100 Cedar Rd Beachwood OH 44122-1109 |
| Practice Telephone | 2168316500 |
| Practice Fax Number | 2168315492 |
| Mailing Telephone | 2168316500 |
| Mailing Fax Number | 2168315492 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50-00-1915 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27100 CEDAR RD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609831429 | Menorah Park Center for Senior Living | Skilled Nursing Facility | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2006-04-18 |
| 1437784154 | Kelly Runkel | Physical Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2020-03-04 |
| 1952965386 | Sierra Capriece Gausha | Registered Nurse | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2019-05-01 |
| 1114401148 | Kayla Elizabeth Aiosa | Nurse Practitioner | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-09-14 |
| 1134600950 | Kathleen Ondak | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-29 |
| 1689155178 | Angela Marie Holpuch | Physical Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-23 |
| 1275014946 | Julianna Leigh Scott | Speech-Language Pathologist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-22 |
| 1861972648 | Courtney Stanley | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-21 |
| 1285114421 | Marla Pease | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-17 |
| 1952881344 | Danielle Dimitris Lewis | Physical Therapy Assistant | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457265 | Michelle N Hagan | Physician Assistant | 3755 Orange Pl Ste 105, Beachwood, OH 44122-4426 | 2006-06-19 |
| 1306810254 | Michael R Moyer | Physician Assistant | 26500 Amhearst Cir, Apt. 304, Beachwood, OH 44122-8502 | 2006-02-16 |
| 1558834507 | Kane Louis Joseph Vaughan | Physician Assistant | 3909 Orange Pl Ste 2100, Beachwood, OH 44122-8400 | 2019-01-02 |
| 1881110799 | Alison T Tobias | Physician Assistant | 3755 Orange Pl Ste 101, Beachwood, OH 44122-4455 | 2017-08-22 |
| 1962533448 | James Joseph Andrassy | Physician Assistant | 3700 Park East Dr, Ste 100, Beachwood, OH 44122-4339 | 2007-03-08 |
| 1568492429 | George Michael Carson | Physician Assistant | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7341 | 2006-07-04 |
| 1396707311 | Victoria Storm Shepherd | Physician Assistant | 4180 Warrensville Center Rd, 120, Beachwood, OH 44122-7024 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
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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.