MRS. LISA MARIE WONG (NPI# 1780875450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780875450 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE WONG |
| Credential | A.T.C. |
| Practice Address |
4775 Knightsbridge Blvd Suite 207 Columbus OH 43214-4313 |
| Mailing Address |
3497 Patcon Way Hilliard OH 43026-3863 |
| Practice Telephone | 6144425557 |
| Mailing Telephone | 6147715760 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.002771 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514338 | Lisa Kanata Wong | Student in an Organized Health Care Education/Training Program | Department of Pathology, 300 Pasteur Drive, Edwards Building, R204, Mc: 5324, Palo Alto, CA 94305-4245 | 2018-04-04 |
| 1780821223 | Lisa Kar Ying Wong | Acupuncturist | 18988 Cox Ave Ste C, Saratoga, CA 95070-4154 | 2009-01-20 |
| 1427225499 | Lisa Lai Wong | Pharmacist | 50 Bowery, New York, NY 10013-4801 | 2008-05-09 |
| 1962605428 | Lisa S Wong | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2007-06-11 |
| 1598825465 | Lisa Wong | Acupuncturist | 5700 Ralston St. Ste. 110, Ventura, CA 93003 | 2006-12-11 |
| 1053963363 | Lisa Amanda Wong | Optometrist | 350 Fairview Ave, Hudson, NY 12534-1224 | 2019-07-16 |
| 1881104610 | Lisa Marie Wong | Dietitian, Registered | 648 Taylor Rd, Gahanna, OH 43230-3202 | 2017-10-06 |
| 1396298667 | Lisa Susann Wong | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2016-08-03 |
| 1376927954 | Lisa Wong | Pharmacist | 720 3rd Ave, Chula Vista, CA 91910-5804 | 2015-07-14 |
| 1285038661 | Lisa Wong | Pharmacist | 8515 Sw Tualatin Sherwood Rd, Tualatin, OR 97062-7583 | 2014-10-14 |
| Street Address |
4775 KNIGHTSBRIDGE BLVD SUITE 207 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634200 | Autumn M O'brien | Internal Medicine | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2006-01-18 |
| 1104133289 | Janice Wunderle Bosley Phd LLC | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2010-09-09 |
| 1427219492 | Emily Tancous Ferguson | Pediatrics | 4775 Knightsbridge Blvd, Suite 207, Columbus, OH 43214-4313 | 2008-06-22 |
| 1003080961 | Columbus Eyecare Associates, Inc. | Optometrist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2008-04-22 |
| 1326247073 | Tiamarie Nicole Moran | Dentist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2007-07-13 |
| 1467666727 | Deanna Maria Golden-kreutz | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-05-09 |
| 1972623239 | Gene Paul King | Dentist | 4775 Knightsbridge Blvd, Suite 101, Columbus, OH 43214 | 2007-03-30 |
| 1609902154 | Mark Lynn Elliott | Psychologist | 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 | 2007-02-26 |
| 1568503837 | Theodore Smiley | Optometrist | 4775 Knightsbridge Blvd, Columbus, OH 43214-4313 | 2007-02-09 |
| 1659411932 | Patrick Dollenmayer | Optometrist | 4775 Knightsbridge Blvd, Suite 102, Columbus, OH 43214-4313 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1558973495 | Kaitlyn Anne Burnham | Specialist/Technologist | 3003 White Bark Pl, Columbus, OH 43221-4738 | 2020-08-21 |
| 1053922211 | Derek Lutz | Specialist/Technologist | 834 Thurber Dr W Apt 25, Columbus, OH 43215-1278 | 2020-08-12 |
| 1083224380 | Hailee Wilhelm | Specialist/Technologist | 7733 Candlewood Ln, Columbus, OH 43235-1625 | 2020-08-03 |
| 1083232623 | Jessica Caroline Steger | Specialist/Technologist | 8823 Evening Star Rd, Columbus, OH 43240-1106 | 2020-07-09 |
| 1447877360 | Jalisa Howard | Specialist/Technologist | 2621 Weyburn Rd, Columbus, OH 43232-4824 | 2020-06-26 |
| 1619513231 | Barbara Anna Hausmann | Specialist/Technologist | 9375 Conway Dr Bldg 3425, Columbus, GA 31905-5920 | 2019-11-19 |
| 1417507393 | Zachary Gordon Moss | Specialist/Technologist | 223 Pine Branch Cir, Columbus, GA 31909-2121 | 2019-09-12 |
| 1083173371 | Alexis Richardson | Specialist/Technologist | 2125 N High St, Columbus, OH 43210-1127 | 2019-03-15 |
| Find all providers in COLUMBUS | ||||
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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.