DR. LISA TRACY WOLLMAN (NPI# 1578544748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578544748 |
| Entity Type | Individual |
| Full Name | DR. LISA TRACY WOLLMAN |
| Credential | MD |
| Practice Address |
690 Canton St Ste 240 Westwood MA 02090-2326 |
| Practice Telephone | 3392049516 |
| Practice Fax Number | 7814594698 |
| Mailing Telephone | 3392049516 |
| Mailing Fax Number | 7814594698 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
77484 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 739827 | 01 |
| MA | BCBS MA | J13877 | 01 |
| MA | 3108759 | 05 |
| Street Address |
690 CANTON ST STE 240 |
| City | WESTWOOD |
| State | MA |
| Zip Code | 02090-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609754 | Carolyn Aldredge | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2005-09-19 |
| 1497271662 | Marissa Mattei | Nurse Anesthetist, Certified Registered | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2017-08-18 |
| 1952789166 | Katherine Elizabeth Nixon | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2015-05-08 |
| 1548659535 | Rebekah Korn Melton | Nurse Anesthetist, Certified Registered | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2015-01-14 |
| 1316298672 | Daniel Vasquez | Nurse Anesthetist, Certified Registered | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2012-09-27 |
| 1790041176 | Zachary Glicksman | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2012-04-10 |
| 1710298278 | Sana Hussaini Zaidi | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2010-06-29 |
| 1154632958 | Svetla Kurteva Yordanov | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2010-06-25 |
| 1598076614 | Elizabeth Ann Moore | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2010-06-23 |
| 1245370162 | Shihchung Albert Woo | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1659860351 | Shiqian Shen | Dentist | 100 High St Lowr Level, Westwood, MA 02090 | 2018-05-08 |
| 1326585951 | Urgent Care of Westwood, LLC | Clinic/Center | 211 University Avenue, Westwood, MA 02090 | 2017-01-20 |
| 1538419403 | Kevin L Longval | Counselor | 24 Willow St., Westwood, MA 02090 | 2012-09-18 |
| 1952590846 | Ann Marie Leahy | Registered Nurse | 31 Carroll Avenue, Westwood, MA 02090 | 2007-10-17 |
| 1144363524 | Lauren E Dore | Acupuncturist | Westwood Wellness Center, 745 High Street, Westwood, MA 02090 | 2007-02-15 |
| 1033258827 | Heena K Lee | Pediatrics | Westwood Mansfield Pediatric Assoc, 541 High Street, Westwood, MA 02090 | 2007-02-06 |
| 1730241324 | Stephen William Stolfors | Counselor | 789 Clapboarttree Street, Westwood, MA 02090 | 2006-12-14 |
| 1225106859 | Paul H Arkema | Psychiatry & Neurology | 45 Clpaboardtree Street, Westwood, MA 02090 | 2006-12-01 |
| 1134292097 | Marc Andre Pizzuto | Social Worker | 725 High St Ste 200, Westwood, MA 02090 | 2006-11-16 |
| Find all providers in zip 02090 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134694714 | Critical Care Associates, PC | Anesthesiology | 15 Little Boot Ln, Westwood, MA 02090-2648 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861759565 | Friederike Reinsberger | Anesthesiology | 4b Cragmore Rd, Newton, MA 02464-1009 | 2012-04-18 |
| 1063665511 | Melanie Rachel Loberman | Anesthesiology | 1 Deaconess Rd # Cc-470, Boston, MA 02215-5321 | 2008-10-28 |
| 1013943067 | David John Glover | Anesthesiology | 14 Meigh Rd, Chestnut Hill, MA 02467-1327 | 2006-06-23 |
| 1306301452 | Sui An Lie | Anesthesiology | 75 Francis St, Boston, MA 02115-6110 | 2019-02-04 |
| 1952855041 | Barry Kelly | Anesthesiology | 330 Brookline Ave, Boston, MA 02215-5400 | 2016-08-07 |
| 1568859643 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Anesthesiology | 275 Sandwich St, Plymouth, MA 02360-2183 | 2015-04-16 |
| 1356735401 | Ngoc Ly | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2015-03-26 |
| 1922433911 | Tamara Greaves | Anesthesiology | 75 Francis St, Department of Anesthesiology, Boston, MA 02115-6110 | 2013-09-09 |
| 1689940256 | Meaghen Erin Finan | Anesthesiology | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2012-03-28 |
| 1164797494 | Christopher Kevin Hansen | Anesthesiology | One Deaconess Road, Rosenberg, 2nd Floor, Boston, MA 02215 | 2012-03-20 |
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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.