LISA ANNE SCANLON (NPI# 1407332414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407332414 |
| Entity Type | Individual |
| Full Name | LISA ANNE SCANLON |
| Other Name | LISA ANNE REDDMANN |
| Credential | ACNPC-AG |
| Practice Address |
524 W High St Bryan OH 43506-1618 |
| Mailing Address |
313 Three Meadows Ct Perrysburg OH 43551-5514 |
| Practice Telephone | 4196369800 |
| Practice Fax Number | 4196360451 |
| Mailing Telephone | 4193298264 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
022921 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0342434 | 05 |
| Street Address |
524 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670580 | Wainwright Anthony Jaggernauth | Radiology | 524 W High St, Bryan, OH 43506-1618 | 2005-06-24 |
| 1922036649 | Michael Pak | Radiology | 524 W High St, Bryan, OH 43506-1618 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251015 | Amy Kristine Ponzio | Nurse Practitioner | 2700 E 29th St Ste 305, Bryan, TX 77802-2587 | 2018-10-15 |
| 1013323278 | Julie Nugent | Nurse Practitioner | 2215 E Villa Maria Rd, Suite 110, Bryan, TX 77802-2584 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
| 1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
| 1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
| 1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
| 1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.