LISA MCDANIEL (NPI# 1720150709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720150709 |
| Entity Type | Individual |
| Full Name | LISA MCDANIEL |
| Other Name | LISA CLOUSE |
| Credential | PAC |
| Practice Address |
3499 S Mercy Rd Gilbert AZ 85297-0437 |
| Mailing Address |
Po Box 756 Gilbert AZ 85299-0756 |
| Practice Telephone | 4803558525 |
| Practice Fax Number | 4803553115 |
| Mailing Telephone | 4803558525 |
| Mailing Fax Number | 4803553115 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3546 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE | 031814 | 01 |
| AZ | MEDICARE | 031815 | 01 |
| AZ | 183792 | 05 | |
| AZ | STATE LICENSE | 3546 | 01 |
| AZ | MEDICARE | 031820 | 01 |
| AZ | MEDICARE | 031813 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063734655 | Lisa F Mcdaniel | Pharmacist | 11003 Hull Street Rd, Midlothian, VA 23112-3201 | 2010-02-23 |
| 1952509697 | Lisa A Mcdaniel | Developmental Therapist | 628 14th St, Charleston, IL 61920-2203 | 2007-07-03 |
| 1871713313 | Lisa A Mcdaniel | Social Worker | 13521 Race Track Rd, Tampa, FL 33626-1401 | 2007-04-26 |
| 1942846563 | Lisa Mcdaniel | Case Manager/Care Coordinator | 2504 W Main St, Russellville, AR 72801-2533 | 2019-11-19 |
| 1932647450 | Lisa Marie Mcdaniel | Nurse Practitioner | 1418 S Main St, Ste 5, Ottawa, KS 66067-3543 | 2017-02-03 |
| 1710365028 | Lisa Marie Mcdaniel | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2015-05-07 |
| 1477829901 | Lisa Rivero Mcdaniel | Social Worker | 2000 S Dixie Hwy, Suite104, Miami, FL 33133-2456 | 2012-03-29 |
| 1255610788 | Lisa Beth Mcdaniel | Counselor | 4720 Peachtree Industrial Blvd, Suite 4101, Norcross, GA 30071-5735 | 2011-08-15 |
| 1629190608 | Lisa Marie Mcdaniel | Occupational Therapy Assistant | 1390 King Tree Dr, Dayton, OH 45405-1401 | 2007-04-03 |
| 1255465662 | Lisa Dawn Mcdaniel | Speech-Language Pathologist | 5313 Ivy Ridge Ct, Newburgh, IN 47630-3160 | 2007-03-15 |
| Street Address |
3499 S MERCY RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-0437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575920 | Clinton J Leonard | Obstetrics & Gynecology | 3499 S Mercy Rd, Gilbert, AZ 85297-0437 | 2005-08-15 |
| 1326440629 | Mariel Katharine Mcdonald | Physician Assistant | 3499 S Mercy Rd, Gilbert, AZ 85297-0437 | 2014-09-18 |
| 1952652604 | Sarah Adamo | Physician Assistant | 3499 S Mercy Rd, Gilbert, AZ 85297-0437 | 2012-09-20 |
| 1376557371 | Morning Star Obstetrics & Gynecology PC | Pediatrics | 3499 S Mercy Rd, Gilbert, AZ 85297-0437 | 2006-07-28 |
| 1578545067 | Rosa M. St. Angelo | Nurse Practitioner | 3499 S Mercy Rd, Gilbert, AZ 85297-0437 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746379 | Rachael Bither | Physician Assistant | 1520 W Guadalupe Rd Ste 108, Gilbert, AZ 85233-3049 | 2017-12-27 |
| 1861855462 | South Val Vista Medical Group LLC | Physician Assistant | 754 S. Val Vista Dr., #105, Gilbert, AZ 85296 | 2016-03-31 |
| 1972976371 | Christopher Consolino | Physician Assistant | 3303 E Baseline Rd Ste 208, Gilbert, AZ 85234-2728 | 2015-11-06 |
| 1023484201 | Jennifer Bagby | Physician Assistant | 625 N Gilbert Rd Ste 104, Gilbert, AZ 85234-4511 | 2015-08-11 |
| 1720485147 | Elise W Ballou | Physician Assistant | 275 E Rivulon Blvd Ste 201, Gilbert, AZ 85297-0008 | 2014-12-01 |
| 1427459544 | Lisa Keller | Physician Assistant | 888 S Greenfield Rd Ste 101, Gilbert, AZ 85296-4012 | 2014-09-08 |
| 1194126425 | Kevin B Main | Physician Assistant | 3303 E Baseline Rd., Ste #208, Desert Pulmonary & Sleep Consultants, Plc, Gilbert, AZ 85234-2738 | 2014-09-05 |
| 1285057265 | Kristina Marie Todd | Physician Assistant | 4915 E Baseline Rd Ste 124, Gilbert, AZ 85234-2969 | 2014-01-28 |
| 1285885863 | Jane E Stevenson | Physician Assistant | 428 S Gilbert Rd Ste 101, Gilbert, AZ 85296-2261 | 2008-10-01 |
| 1124278254 | Janice Renee Morasch | Physician Assistant | 3645 South Rome Street, Suite 204, Gilbert, AZ 85297 | 2008-09-25 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on LISA MCDANIEL.
| 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.