LISA MUSSMAN (NPI# 1437424462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437424462 |
| Entity Type | Individual |
| Full Name | LISA MUSSMAN |
| Practice Address |
20201 South Crawford Avenue Attn: Postdoctoral Education Olympia Fields IL 60461 |
| Mailing Address |
20201 Crawford Ave Olympia Fields IL 60461-1010 |
| Practice Telephone | 7087474000 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 02004745A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20201 SOUTH CRAWFORD AVENUE ATTN: POSTDOCTORAL EDUCATION |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790956779 | Daniel Williams | Emergency Medicine | 20201 South Crawford Avenue, Midwestern University- Chicago Coll. of Osteo. Medicine, Olympia Fields, IL 60461 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| 1578702361 | Jay C Symowicz | Emergency Medicine | 20201 S. Crawford, Olympia Fields, IL 60461 | 2009-02-18 |
| 1942449715 | Christina Susi Deangelis | Emergency Medicine | 20201 S. Crawford Ave, Post Doc Education, Olympia Fields, IL 60461 | 2009-02-18 |
| 1790956779 | Daniel Williams | Emergency Medicine | 20201 South Crawford Avenue, Midwestern University- Chicago Coll. of Osteo. Medicine, Olympia Fields, IL 60461 | 2008-03-18 |
| 1407849938 | Sarah A Green | Emergency Medicine | 20201 Crawford Avenue, Olympia Fields, IL 60461 | 2005-08-30 |
| 1598298275 | Lynn Maxa | Emergency Medicine | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2017-04-09 |
| 1083062111 | Nathan Michael Matwick | Emergency Medicine | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2016-05-31 |
| 1174970545 | Emily Ann Fedro | Emergency Medicine | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2016-05-16 |
| 1740636356 | Monica Ankola | Emergency Medicine | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2016-05-12 |
| 1184070054 | Catherine Sternberg | Emergency Medicine | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2016-05-10 |
| Find all providers in OLYMPIA FIELDS | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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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.