LISA KATHERYN WASHBURN (NPI# 1609850684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609850684 |
| Entity Type | Individual |
| Full Name | LISA KATHERYN WASHBURN |
| Credential | MD |
| Practice Address |
Medical Center Blvd Winston-salem NC 27157 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2008-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
36613 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6739041 | 05 | |
| AETNA | 7576302 | 01 | |
| BCBS | 1291T | 01 | |
| PARTNERS | 43973 | 01 | |
| MEDCOST | B1069 | 01 | |
| NC | 891291T | 05 | |
| WV | 2006796000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886676 | Lisa Marie Washburn | Hearing Instrument Specialist | 921 Blairs Ferry Rd Ne Ste 110, Cedar Rapids, IA 52402-1262 | 2020-03-19 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365758 | Trevor James Tyner | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2016-06-02 |
| 1245685866 | Megan Brock | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Wake Forest Baptist Medical Center, Dept of Pediatrics, Winston-salem, NC 27157 | 2016-05-02 |
| 1871961573 | Daniel Smith | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2015-09-11 |
| 1265819692 | Maria-carolina Orbay | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2015-05-06 |
| 1053707307 | Brent Frederick | Hospitalist | Medical Center Blvd, Winston-salem, NC 27157 | 2015-04-14 |
| 1720491889 | Tiffany Earle | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2014-06-06 |
| 1881822856 | Christopher James Edwards | Anesthesiology | Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 | 2009-06-29 |
| 1245408988 | Archana Manoj Shah | Anesthesiology | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2008-02-15 |
| 1962684514 | Christina Natale Condon | Nurse Practitioner | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-12-05 |
| 1790966356 | Hirenkumar Babubhai Patel | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-1184 | 2007-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790966356 | Hirenkumar Babubhai Patel | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-1184 | 2007-11-23 |
| 1447281845 | Wake Forest University Health Sciences | Pediatrics | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396181764 | Erin Elizabeth Hayes Orth | Pediatrics | 1121 North Church Street, Greensboro, NC 27401 | 2013-05-13 |
| 1518202969 | Ronald Paul Gregoire | Pediatrics | 207 Cabbage Inlet Ln, Wilmington, NC 28409-3004 | 2012-12-11 |
| 1225396690 | Wesley Matthew Jackson | Pediatrics | 5801 Mountain Island Dr, Durham, NC 27713-8909 | 2012-04-24 |
| 1982915179 | Jennifer Lee Nash Holman | Pediatrics | Wfsm Department of Pediatrics, Medical Center Boulevard, Winston Salem, NC 27157-1081 | 2010-06-23 |
| 1306023742 | Scott Allan Witt | Pediatrics | Duke University Medical Center Department of Pediatrics, Dumc Box 3179, Durham, NC 27710-0001 | 2008-01-29 |
| 1386827335 | Piedmont Neonatology PC | Pediatrics | 628 Green Valley Road, Suite 210, Greensboro, NC 27408-7789 | 2007-12-13 |
| 1508959420 | Neonatology Services of Hickory, Pllc | Pediatrics | 352 2nd St. Nw, Suite #205, Hickory, NC 28601 | 2006-10-02 |
| 1104840248 | Roy Schneiderman | Pediatrics | 655 Lake Dornoch Drive, Pinehurst, NC 28374-7135 | 2006-07-26 |
| 1588617948 | Usha Doshi | Pediatrics | 101 Maynard Crossing Ct, N/a, Cary, NC 27513-8723 | 2006-05-18 |
| 1689634792 | Christie C. Davanzo | Pediatrics | 628 Green Valley Rd, Suite 210, Greensboro, NC 27408-7730 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27157 |
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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.