MS. LISA WORLEY (NPI# 1689780801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689780801 |
| Entity Type | Individual |
| Full Name | MS. LISA WORLEY |
| Credential | CT,IAC,ASCP |
| Practice Address |
1465 E Parkdale Ave Pathology Services.org LLC Att'n Lisa Worley Po 70 Manistee MI 49660-0070 |
| Mailing Address |
Po Box 70 Manistee MI 49660-0070 |
| Practice Telephone | 2315905030 |
| Practice Fax Number | 2318895969 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QC2700X |
Spec/Tech, Pathology Specialization: Cytotechnology |
CLM89 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GOLDENRULE | 50475410 | 01 |
| MI | 69 INDEPEND LAB BCBS PP0 | 0E11500 | 01 |
| MI | BLUECROSSBLUE SHIELD MICH | 71020000E11500 | 01 |
| MI | TENCON | 303702 | 01 |
| MI | 4280673 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326438250 | Lisa Worley | Pharmacy Technician | 4101 Bronholly Rd, Chesterfield, VA 23832 | 2015-01-30 |
| Street Address |
1465 E PARKDALE AVE PATHOLOGY SERVICES.ORG LLC ATT'N LISA WORLEY PO 70 |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709412 | John Raymond Md PC | Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2006-06-15 |
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1639715873 | Madison Marie Wisneski | Physician Assistant | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-11-22 |
| 1053874792 | Jesse Leah Keson | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-04-10 |
| 1477030476 | Ecs Lakeshore PC | Anesthesiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-07-23 |
| 1265934673 | Sally Elizabeth Somsel | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660 | 2018-03-01 |
| 1871094466 | Lauren Elizabeth Welsh | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-28 |
| 1518468669 | Annette Sue Hart | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1861993917 | Kristen King | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1043731979 | Benjamin S Long | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| Find all providers in zip 49660 | ||||
| Taxonomy Code | 246QC2700X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Cytotechnology |
| Definition to come... |
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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.