LISA M QUARLES (NPI# 1417993205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417993205 |
| Entity Type | Individual |
| Full Name | LISA M QUARLES |
| Credential | PA |
| Practice Address |
5401 Old Court Road Northwest Hospital Randallstown MD 21133 |
| Mailing Address |
5236 Kingsbrook Drive Frederick MD 21703 |
| Practice Telephone | 4105215950 |
| Mailing Telephone | 3016961389 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0002523 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 OLD COURT ROAD NORTHWEST HOSPITAL |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038436 | Julie Radnoff | Physical Therapist | 5401 Old Court Road, Randallstown, MD 21133 | 2019-05-16 |
| 1508291410 | Kristy Michelle Fogle | Physician Assistant | 5401 Old Court Road, Northwest Hospital-emergency Department, Randallstown, MD 21133 | 2013-09-10 |
| 1770648370 | Thomas J Krisanda | Emergency Medicine | 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 | 2006-12-26 |
| 1710083241 | Mayer Gorbaty | Internal Medicine | 5401 Old Court Road, Northwest Hospital, Randallstown, MD 21133 | 2006-09-15 |
| 1013939255 | Mario Klimentov Dimitrov | Physician Assistant | 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 | 2006-07-24 |
| 1538181888 | Kathleen A Ryan | Physician Assistant | 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404239 | Joseph Joshua Horowitz | Physician Assistant | 8600 Liberty Rd, Randallstown, MD 21133-4767 | 2020-10-09 |
| 1790398659 | Jessica Stehman | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-08-28 |
| 1578176863 | Margot Wallace | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-08-26 |
| 1740805779 | Elizabeth M Atkinson | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-06-16 |
| 1023678620 | Shannon Lynn Watts | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2019-06-17 |
| 1235796889 | Brenden Lingg | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2019-05-20 |
| 1972014637 | Rachel Elizabeth Mcdonald | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2017-10-20 |
| 1477070464 | Amanda Christine Bell | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2017-08-29 |
| 1942752084 | Billy Farmer | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-10-24 |
| 1578012118 | Blake Leibowitz | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-09-23 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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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.