LISA M DAVIS (NPI# 1588624571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588624571 |
| Entity Type | Individual |
| Full Name | LISA M DAVIS |
| Other Name | LISA ANN MUMMAW |
| Credential | MD |
| Practice Address |
4470 Valley St Enola PA 17025-1443 |
| Mailing Address |
3 Walnut St Suite 206 Lemoyne PA 17043-1168 |
| Practice Telephone | 7177328883 |
| Practice Fax Number | 7177321640 |
| Mailing Telephone | 7177610208 |
| Mailing Fax Number | 7177612023 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD042461L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444633 | Lisa Davis | Technician | 595 Trenum Dr, Keyser, WV 26726-7058 | 2020-10-09 |
| 1366054454 | Lisa M Davis | Home Health Aide | 1300 H St Ne Apt 306, Washington, DC 20002-6827 | 2020-08-19 |
| 1689291452 | Lisa Davis | Dietitian, Registered | 5155 Crystal Brook Dr, Morristown, TN 37814-1598 | 2020-06-28 |
| 1760025407 | Lisa Davis | Speech-Language Pathologist | 7121 Wren Ave Nw, North Canton, OH 44720-7054 | 2019-10-25 |
| 1326699869 | Lisa M Davis | Registered Nurse | 295 Sumpter St, Brooklyn, NY 11233-2712 | 2019-09-26 |
| 1194223727 | Lisa Duncan Davis | Dietitian, Registered | 217 Harr Town Rd, Blountville, TN 37617-3830 | 2018-01-29 |
| 1114464708 | Lisa Davis | Nurse Practitioner | 16812 Eldamere Ave, Cleveland, OH 44128-1516 | 2017-01-20 |
| 1639613573 | Lisa Davis | Day Training, Developmentally Disabled Services | 8937 1/2 S Western Ave, Los Angeles, CA 90047-3549 | 2016-12-12 |
| 1275087264 | Lisa Davis | Dental Hygienist | 5901 Stone Pine Rd, Wilmington, DE 19808-1015 | 2016-08-08 |
| 1376919753 | Lisa Davis | Licensed Practical Nurse | 30780 Barrington St, Madison Heights, MI 48071-1834 | 2015-08-19 |
| Street Address |
4470 VALLEY ST |
| City | ENOLA |
| State | PA |
| Zip Code | 17025-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710947700 | Jonathan Beckett Tocks | Family Medicine | 4470 Valley St, Enola, PA 17025-1443 | 2006-03-24 |
| 1386082006 | Pinnacle Health Medical Services | Nurse Practitioner | 4470 Valley St, Enola, PA 17025-1443 | 2013-06-05 |
| 1437421104 | Pinnacle Health Medical Group Inc | Nurse Practitioner | 4470 Valley St, Enola, PA 17025-1443 | 2012-01-27 |
| 1629268958 | Cumberland Family Practice ( A Division of Heritage Medical Group, LLP | Non-Pharmacy Dispensing Site | 4470 Valley St, Enola, PA 17025-1443 | 2007-08-01 |
| 1295766046 | Marie Susan Gaetano | Nurse Practitioner | 4470 Valley St, Enola, PA 17025-1443 | 2006-07-06 |
| 1679533665 | Richard Lee Davis | Family Medicine | 4470 Valley St, Enola, PA 17025-1443 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1326652009 | Keystone Hearing Center | Audiologist-Hearing Aid Fitter | 6891 Werzville Rd, Enola, PA 17025 | 2020-09-01 |
| 1316459480 | Joseph Franklin Thomas | Family Medicine | 1830 Good Hope Road, Enola, PA 17025 | 2017-10-30 |
| 1326312554 | Michele Barton | Occupational Therapy Assistant | 827 South Humer Street, Enola, PA 17025 | 2012-03-06 |
| 1477725232 | Christopher Peter Collins | Nurse Practitioner | 4510 Marketplace Way, Enola, PA 17025 | 2008-04-01 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| 1407814726 | Timothy A Clark | Internal Medicine | 2250 Millennium Way, Ste 400, Enola, PA 17025 | 2006-05-03 |
| 1093770695 | Michael Gerard Bennese | Chiropractor | 30 East Shady Lane, Enola, PA 17025 | 2006-04-18 |
| 1851760011 | Mounika Sankaramaddi | Internal Medicine | 310 E Penn Dr, Enola, PA 17025 | 2015-09-17 |
| 1184016719 | Ashad Shahid Syed | Internal Medicine | 1830 Good Hope Rd, Enola, PA 17025 | 2015-02-18 |
| Find all providers in zip 17025 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316459480 | Joseph Franklin Thomas | Family Medicine | 1830 Good Hope Road, Enola, PA 17025 | 2017-10-30 |
| 1194786939 | William P Nasuti | Family Medicine | 310 E Penn Dr, Enola, PA 17025-2175 | 2006-03-31 |
| 1710947700 | Jonathan Beckett Tocks | Family Medicine | 4470 Valley St, Enola, PA 17025-1443 | 2006-03-24 |
| 1497749337 | Mark F Yurek | Family Medicine | 1830 Good Hope Rd, Enola, PA 17025-1233 | 2005-09-07 |
| 1811414162 | Spirit Physcian Services, Inc | Family Medicine | 310 E Penn Dr, Enola, PA 17025-2175 | 2017-08-28 |
| 1952722357 | Michael J Loy | Family Medicine | 1830 Good Hope Rd, Enola, PA 17025-1233 | 2014-01-02 |
| 1417189242 | Christina M Griffith | Family Medicine | 1830 Good Hope Rd, Enola, PA 17025-1233 | 2009-08-12 |
| 1275593238 | Denise Flickinger Harr | Family Medicine | 1830 Good Hope Rd, Enola, PA 17025-1233 | 2006-03-24 |
| 1093775066 | Jane Beebe Rowehl | Family Medicine | 1830 Good Hope Rd, Enola, PA 17025-1233 | 2006-03-24 |
| 1679533665 | Richard Lee Davis | Family Medicine | 4470 Valley St, Enola, PA 17025-1443 | 2006-03-24 |
| Find all providers in ENOLA | ||||
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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.