LISA JANE FAIA (NPI# 1407832884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407832884 |
| Entity Type | Individual |
| Full Name | LISA JANE FAIA |
| Credential | M.D. |
| Practice Address |
3555 W 13 Mile Rd Ll-20 Royal Oak MI 48073-6710 |
| Mailing Address |
39650 Orchard Hill Pl 200 Novi MI 48375-5391 |
| Practice Telephone | 2482882280 |
| Practice Fax Number | 2482885644 |
| Mailing Telephone | 2483190161 |
| Mailing Fax Number | 2483190170 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 4301093666 | MI | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
4301093666 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3555 W 13 MILE RD LL-20 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412671 | Mikel Mikhail | Ophthalmology | 3555 W 13 Mile Rd, Ste Ll-20, Royal Oak, MI 48073-6710 | 2017-04-27 |
| 1619352176 | Meghan C. Liuzzo | Nurse Practitioner | 3555 W 13 Mile Rd, Suite N120a, Royal Oak, MI 48073-6710 | 2015-07-27 |
| 1497144943 | William Beaumont Hospital | General Acute Care Hospital | 3555 W 13 Mile Rd, N120, Royal Oak, MI 48073-6710 | 2015-01-21 |
| 1255738662 | Elizabeth Francek | Nurse Practitioner | 3555 W 13 Mile Rd, N120, Royal Oak, MI 48073-6710 | 2014-12-01 |
| 1689096331 | Jessica Kenaya | Nurse Practitioner | 3555 W 13 Mile Rd, Suite 605, Royal Oak, MI 48073-6710 | 2014-01-15 |
| 1245573716 | Richard John Bloomingdale | Internal Medicine | 3555 W 13 Mile Rd, Royal Oak, MI 48073-6710 | 2013-04-02 |
| 1982967998 | Prethy Rao | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2012-06-25 |
| 1538325972 | University Neurosurgical Associates, PC | Neurological Surgery | 3555 W 13 Mile Rd, Ste N220, Royal Oak, MI 48073-6710 | 2008-08-05 |
| 1841486172 | Sandeep Randhawa | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2007-09-20 |
| 1215003793 | Associated Retinal Consultants, PC | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902260698 | Drew Scoles | Ophthalmology | 3555 W 13 Mile Rd Ste Ll-20, Royal Oak, MI 48073-6710 | 2016-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781545 | Harbor Retina Center Pllc | Ophthalmology | 3273 Davison Rd Ste 1, Lapeer, MI 48446-2902 | 2020-08-21 |
| 1225007198 | Steven A Boskovich Md PC | Ophthalmology | 1290 S Linden Rd, Flint, MI 48532-3407 | 2006-03-14 |
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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.