LIZA COLETTE BROLL (NPI# 1568626661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568626661 |
| Entity Type | Individual |
| Full Name | LIZA COLETTE BROLL |
| Credential | CRNA |
| Practice Address |
500 Memorial Ave Suite 307 Cumberland MD 21502 |
| Mailing Address |
500 Memorial Ave Suite 307 Cumberland MD 21502-3732 |
| Practice Telephone | 3017234965 |
| Practice Fax Number | 3017234983 |
| Mailing Telephone | 3017234965 |
| Mailing Fax Number | 3017234983 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R134724 | MD | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R134724 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 MEMORIAL AVE SUITE 307 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324465 | Susan Joyce Keister | Nurse Practitioner | 500 Memorial Ave, Cumberland, MD 21502-3732 | 2005-05-31 |
| 1497009088 | Hannah Marie Corcoran | Counselor | 500 Memorial Ave, Suite M304, Cumberland, MD 21502-3732 | 2012-11-03 |
| 1164771184 | Krystal Dawn Nickel | Counselor | 500 Memorial Ave, Suite M304, Cumberland, MD 21502-3732 | 2012-09-05 |
| 1811255565 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1720346471 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-05-01 |
| 1962760959 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1821356973 | Committed To Change PC | Clinic/Center | 500 Memorial Ave, M304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1538427612 | Committed To Change, PC | Clinic/Center | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-04-26 |
| 1912264748 | Committed To Change PC | Clinic/Center | 500 Memorial Ave, M304, Cumberland, MD 21502-3732 | 2012-04-18 |
| 1558636134 | Nebojsa V Zimonjic | Counselor | 500 Memorial Ave, Suite M-304, Cumberland, MD 21502-3732 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699025247 | Sheridan Anesthesia Services of Maryland, PC | Nurse Anesthetist, Certified Registered | 12252 Williams Rd Se Ste 103, Cumberland, MD 21502-7960 | 2012-09-11 |
| 1144536327 | Michelle K Helal | Nurse Anesthetist, Certified Registered | 115 Baltimore St Ste 200, Cumberland, MD 21502-2301 | 2010-08-25 |
| 1134322514 | Rodney Thomas Whetstone | Nurse Anesthetist, Certified Registered | 115 Baltimore St, Suite 200, Cumberland, MD 21502-2301 | 2007-06-06 |
| 1487879540 | James Boyd Diehl | Nurse Anesthetist, Certified Registered | Cumberland Anesthesia and Pain Managment, 600 Memorial Ave., Cumberland, MD 21502 | 2007-04-16 |
| 1760499776 | Edward Leroy Shriver | Nurse Anesthetist, Certified Registered | 600 Memorial Drive, Cumberland, MD 21502 | 2006-08-02 |
| 1568490530 | William T Balboa | Nurse Anesthetist, Certified Registered | 217 Glenn St, Suite 400, Cumberland, MD 21502-2460 | 2006-06-29 |
| 1225008923 | Donna Ross | Nurse Anesthetist, Certified Registered | 12252 Williams Rd Se, #103, Cumberland, MD 21502-7960 | 2006-01-25 |
| 1700863651 | Richard E Matte | Nurse Anesthetist, Certified Registered | 136 Old Mendon Rd, Cumberland, RI 02864-5504 | 2005-12-30 |
| 1821629056 | Raven Hicks | Nurse Anesthetist, Certified Registered | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-01-27 |
| 1992299655 | Preston Woodburn-camp | Nurse Anesthetist, Certified Registered | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2018-06-18 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on LIZA COLETTE BROLL.
| 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.