MRS. LISA A. BOGET (NPI# 1619083102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619083102 |
| Entity Type | Individual |
| Full Name | MRS. LISA A. BOGET |
| Credential | PA-C |
| Practice Address |
2721 W Park Dr Paducah KY 42001-9058 |
| Practice Telephone | 2705547546 |
| Practice Fax Number | 2705540316 |
| Mailing Telephone | 2705547546 |
| Mailing Fax Number | 2705540316 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA752 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000324636 | 01 |
| KY | RAILROAD MEDICARE | P00080693 | 01 |
| Street Address |
2721 W PARK DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982643797 | Evelyn Montgomery Jones | Dermatology | 2721 W Park Dr, Paducah, KY 42001-9058 | 2006-06-06 |
| 1194951418 | Lacy Boyd | Physician Assistant | 2721 W Park Dr, Paducah, KY 42001-9058 | 2009-06-01 |
| 1588733661 | Wellsprings Institute, Pllc | Specialist | 2721 W Park Dr, Paducah, KY 42001-9058 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831371376 | Scott Burton Harp | Physician Assistant | 546 Lone Oak Rd., Paducah, KY 42001 | 2007-11-27 |
| 1598767055 | Tolly B Alsup | Physician Assistant | 3101 Parisa Dr., Paducah, KY 42003 | 2005-08-15 |
| 1609878768 | Rita L Mcintosh | Physician Assistant | 1532 Lone Oak Rd Ste 230, Kentucky Spine & Brain, Paducah, KY 42003 | 2005-06-02 |
| 1730528118 | Jill Renee Kuhlmann | Physician Assistant | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2013-06-19 |
| 1578858742 | Jerry Solon Smith | Physician Assistant | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2011-06-15 |
| 1548579170 | Jessica June Carr | Physician Assistant | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 | 2010-09-30 |
| 1487801114 | Rachel Amanda Crowley | Physician Assistant | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2008-08-25 |
| 1285832493 | Dawn R Holland | Physician Assistant | 2850 Lone Oak Rd Ste 4, Paducah, KY 42003-8043 | 2007-07-10 |
| 1578668455 | Penny Rae Legereit | Physician Assistant | 1532 Lone Oak Rd, Suite 405, Paducah, KY 42003-7913 | 2006-09-14 |
| 1972614253 | Monica Tinsley Vinyard | Physician Assistant | 2620 Perkins Creek Dr, Paducah, KY 42001-7494 | 2006-08-31 |
| Find all providers in PADUCAH | ||||
Please comment or provide details below to improve the information on MRS. LISA A. BOGET.
| 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.