DR. LISA MARIE SASSO (NPI# 1790941581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790941581 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE SASSO |
| Credential | MD |
| Practice Address |
901 Medical Park Dr Suite 100 Effingham IL 62401-2191 |
| Mailing Address |
901 Medical Park Drive Suite 100 Effingham IL 62401 |
| Practice Telephone | 2173473003 |
| Practice Fax Number | 2173473005 |
| Mailing Telephone | 2173473003 |
| Mailing Fax Number | 2173473005 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036127387 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
036127387 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036127387 | 05 |
| Street Address |
901 MEDICAL PARK DR SUITE 100 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234754 | Nash H. Naam | Orthopaedic Surgery | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2005-08-31 |
| 1841694809 | Rosalie Swaine | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2014-10-20 |
| 1083852685 | Gail Kreke | Licensed Practical Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1992943591 | Laura Deters | Registered Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1710125307 | Carla Higgs | Licensed Practical Nurse | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2009-02-04 |
| 1699920074 | Danielle M Westendorf | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-11-26 |
| 1093963340 | Brian N. Ogan, Md | Anesthesiology | 901 Medical Park Dr, Suite 201, Effingham, IL 62401-2191 | 2008-08-28 |
| 1174779417 | Angela Marie Slagley | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2008-08-18 |
| 1811166614 | Jay Ivor Swanson | Dentist | 901 Medical Park Dr, Effingham, IL 62401-2191 | 2008-02-26 |
| 1619987963 | Lori L. Niemerg | Occupational Therapist | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234754 | Nash H. Naam | Orthopaedic Surgery | 901 Medical Park Dr, Suite 100, Effingham, IL 62401-2191 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1639692973 | Oa Associated LLC | Orthopaedic Surgery | 1414 Cross St Ste 110, Shiloh, IL 62269-2988 | 2017-07-19 |
| 1932376092 | Felicity Fishman | Orthopaedic Surgery | 2160 S 1st Ave Ste 1700, Maywood, IL 60153-3328 | 2008-05-08 |
| 1548466725 | Emily Anne Gilley | Orthopaedic Surgery | 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 | 2007-06-25 |
| 1942406558 | Chirag Mukund Shah | Orthopaedic Surgery | 737 N Michigan Ave Ste 700, Chicago, IL 60611-6662 | 2007-06-22 |
| 1518185438 | The Board of Trustees of The University of Illinois | Orthopaedic Surgery | 835 S Wolcott St, Chicago, IL 60612-7342 | 2007-04-23 |
| 1679798565 | Michael Victor Birman | Orthopaedic Surgery | 515 W Algonguin Rd., Hand Surgery Associates, S.c., Arlington Heights, IL 60005 | 2007-04-16 |
| 1518020080 | Orhan Kaymakcalan | Orthopaedic Surgery | 2755 West 15th St, Room M302, Chicago, IL 60608 | 2006-12-18 |
| 1992871347 | Marko F Krpan | Orthopaedic Surgery | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2006-11-28 |
| 1841383031 | Scott D Sagerman | Orthopaedic Surgery | 515 W Algonquin Rd, Ste 120, Arlington Heights, IL 60005-4405 | 2006-10-02 |
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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.