LISA LOUISE ELLSWORTH


Address: 10103 Ridgegate Pkwy Ste G01, Lone Tree, CO 80124-5521
Phone: 3039250700

LISA LOUISE ELLSWORTH (NPI# 1548204472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548204472
Entity Type Individual
Full Name LISA LOUISE ELLSWORTH
Other Name LISA LOUISE BELANGER
Credential P.A.
Practice Address 10103 Ridgegate Pkwy Ste G01
Lone Tree
CO 80124-5521
Mailing Address 7951 E Maplewood Ave Ste 300
Greenwood Village
CO 80111-4726
Practice Telephone 3039250700
Practice Fax Number 3033292599
Mailing Telephone 3039307800
Mailing Fax Number 3039307860
Enumeration Date 2006-06-14
Last Update Date 2016-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.0003529 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 20375557 05

Office Location

Street Address 10103 RIDGEGATE PKWY STE G01
City LONE TREE
State CO
Zip Code 80124-5521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396259479 Charlotte Renae Goodnight Registered Nurse 10103 Ridgegate Pkwy Ste G01, Lone Tree, CO 80124-5521 2017-11-27
1639279763 Charles A Mateskon Radiology 10103 Ridgegate Pkwy Ste G01, Lone Tree, CO 80124-5521 2006-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700413788 Adam Avant Student in an Organized Health Care Education/Training Program Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 2020-03-27
1265069546 Nikhilesh Srinivasan Student in an Organized Health Care Education/Training Program 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 2020-03-25
1487281200 Caden Nowak Student in an Organized Health Care Education/Training Program 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 2020-03-23
1427618305 University of Colorado Hospital Authority Clinic/Center 9548 Park Meadows Dr, Lone Tree, CO 80124 2019-06-13
1225505746 Justin Sean Ashurst Registered Nurse 10240 Meadows Dr, Lone Tree, CO 80124 2018-11-02
1396257143 University Physicians, Incorporated Family Medicine 9548 Park Meadows Drive, Lone Tree, CO 80124 2017-11-02
1861928236 Jennifer Kouri Student in an Organized Health Care Education/Training Program 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 2017-05-04
1013443787 Graham Litchman Surgery 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 2017-05-02
1609324466 Amy Lim Registered Nurse 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 2016-09-21
1770933251 Richard Kenyon French Jr. Optometrist 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 2016-06-15
Find all providers in zip 80124

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922570621 Heather Aynsley Mcbryde Physician Assistant 10463 Park Meadows Dr Ste 110, Lone Tree, CO 80124-5317 2018-12-19
1396228102 Erica Cathleen Borresen Physician Assistant 10375 Park Meadows Dr Ste 270, Lone Tree, CO 80124-6760 2018-09-09
1093003154 Sarah Neguse Physician Assistant 9695 S. Yosemite St., Ste # 324, Lone Tree, CO 80124 2011-07-11
1164615985 Michelle Lynn Martin Physician Assistant 10103 Ridgegate Pkwy #623, Lone Tree, CO 80124 2007-08-24
1407973266 Tara Mendozza Decrescentis Physician Assistant 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 2007-03-24
1841234515 Tim R Johnson Physician Assistant 9777 S Yosemite St Ste 220, Lone Tree, CO 80124-3115 2006-06-15
1508807041 Jonathan Hugh Churchill Physician Assistant 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 2006-06-08
1225091788 Kelly Ann Peters Physician Assistant 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 2006-04-07
1730177536 Heather Mae Haug Physician Assistant 109 W Jayne St, Uihc Lone Tree Family Practice, Lone Tree, IA 52755-0417 2005-10-06
1477545069 Jacqueline A. Fitch Physician Assistant 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 2005-08-18
Find all providers in LONE TREE

Competitor

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City LONE TREE
Zip Code 80124

Improve Information

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Dataset Information

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.

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