LISA WAMACK (NPI# 1609891530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609891530 |
| Entity Type | Individual |
| Full Name | LISA WAMACK |
| Credential | DPM |
| Practice Address |
721 Glenwood Dr Ste W562 Chattanooga TN 37404-1129 |
| Practice Telephone | 4236984899 |
| Practice Fax Number | 4236988269 |
| Mailing Telephone | 4236984899 |
| Mailing Fax Number | 4236988269 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
590 | TN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
721 GLENWOOD DR STE W562 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487747457 | Chattanooga Foot Specialists, Pllc | Podiatrist | 721 Glenwood Dr Ste W562, Chattanooga, TN 37404-1129 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346686151 | Katie Hoang | Podiatrist | 200 Manufacturers Rd Ste 105, Chattanooga, TN 37405-3340 | 2013-05-20 |
| 1033369293 | Ankle & Foot Center of Chattanooga | Podiatrist | 531 Signal Mountain Rd, Suite 101, Chattanooga, TN 37405-1925 | 2008-09-24 |
| 1972666766 | Advanced Foot Care LLP | Podiatrist | 4308 Brainerd Rd, Chattanooga, TN 37411-5424 | 2006-12-19 |
| 1154965051 | United Foot and Ankle LLC | Podiatrist | 5959 Shallowford Rd Ste 213, Chattanooga, TN 37421-2215 | 2019-11-04 |
| 1598004095 | Kimberly Marie Woodard | Podiatrist | 3742 Tennessee Ave Ste 108, Chattanooga, TN 37409-1222 | 2013-02-05 |
| 1023252012 | Comfort Foot Care LLC | Podiatrist | 6116 Shallowford Rd, Ste 118, Chattanooga, TN 37421-7201 | 2009-04-22 |
| 1730242520 | Advanced Foot Care LLP | Podiatrist | 1720 Gunbarrel Rd Ste 204, Chattanooga, TN 37421-3192 | 2006-12-19 |
| 1487747457 | Chattanooga Foot Specialists, Pllc | Podiatrist | 721 Glenwood Dr Ste W562, Chattanooga, TN 37404-1129 | 2006-10-02 |
| 1811912751 | Claude Jason Wamack | Podiatrist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.