DR. LISA M PEREZ (NPI# 1487678918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487678918 |
| Entity Type | Individual |
| Full Name | DR. LISA M PEREZ |
| Credential | M.D. |
| Practice Address |
303 Bombay Ln Roswell GA 30076-5816 |
| Mailing Address |
397 Churchill Hubbard Rd Youngstown OH 44505-1375 |
| Practice Telephone | 6788695158 |
| Practice Fax Number | 6788695159 |
| Mailing Telephone | 3307596750 |
| Mailing Fax Number | 3307596755 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 048698 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS OF GEORGIA | 52806860005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740845668 | Lisa Perez | Behavior Technician | 677 Cliffside Dr # 677, San Dimas, CA 91773-2957 | 2019-05-06 |
| 1982104733 | Lisa Perez | Specialist/Technologist | 2350 Airport Fwy Ste 150, Bedford, TX 76022-6050 | 2018-02-19 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1699192260 | Lisa Perez | Nurse Practitioner | 2208 Lipscomb St, Ft Worth, TX 76110-2049 | 2014-03-21 |
| 1518301001 | Lisa M Perez | Social Worker | 921 Capitol Landing Rd, Williamsburg, VA 23185-4348 | 2013-04-26 |
| 1104174580 | Lisa Marie Perez | Student in an Organized Health Care Education/Training Program | 5030 Broadway Ste 201, New York, NY 10034-1611 | 2012-08-16 |
| 1861682049 | Lisa Villaverde Perez | Physical Therapist | 4912 Caspar St, Union City, CA 94587-5531 | 2007-07-25 |
| 1750412904 | Lisa Marie Perez | Speech-Language Pathologist | 4009 Redwood Dr, Bethlehem, PA 18020-7665 | 2007-03-08 |
| 1538159991 | Lisa Ann Perez | Anesthesiology | 7145 Perkins Rd, Baton Rouge, LA 70808-4322 | 2005-10-26 |
| 1003428061 | Lisa Perez | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-08-20 |
| Street Address |
303 BOMBAY LN |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851692602 | Circulatory Centers Georgia, P.C. | Specialist | 303 Bombay Ln, Roswell, GA 30076-5816 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| 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 |
|---|---|---|---|---|
| 1235303090 | Jason Taylor Pope | Emergency Medicine | 1008 Mullis St, Roswell, NM 88201-1157 | 2008-04-14 |
| 1053583948 | West Road Emergency Physicians | Emergency Medicine | 117 East 19th St., Roswell, NM 88201-5151 | 2008-03-31 |
| 1730365669 | Mrunalee Milan Mehta | Emergency Medicine | 720 Glen Royal Dr, Roswell, GA 30076-3649 | 2008-01-09 |
| 1134282114 | Damon C. Kimes | Emergency Medicine | 1300 Upper Hembree Rd Ste B, Roswell, GA 30076-0927 | 2006-12-19 |
| 1598874794 | Alto Medical Services, PC | Emergency Medicine | 2110 S Main Street, Roswell, NM 88203 | 2006-08-30 |
| 1457467649 | David M Turner | Emergency Medicine | 1600 Se Main, Suite F, Roswell, NM 88203 | 2006-08-21 |
| 1548298383 | Hulannie Jenkins | Emergency Medicine | 245 Boulder Dr, Roswell, GA 30075-4158 | 2006-06-29 |
| 1467497479 | Charles V Pollack Jr. | Emergency Medicine | 1120 Wilde Run Ct, Roswell, GA 30075-7163 | 2006-06-17 |
| 1245270727 | Bernard F Oddi | Emergency Medicine | 328 Lum Crowe Rd, Roswell, GA 30075-6879 | 2006-06-06 |
| 1235188558 | Cydney Roller | Emergency Medicine | 400 N Pennsylvania Ave Ste 101, Roswell, NM 88201-4754 | 2006-05-06 |
| Find all providers in ROSWELL | ||||
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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.