MRS. LISA MARIE GUERTIN (NPI# 1831340165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831340165 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE GUERTIN |
| Other Name | MS. LISA MARIE STICKNEY |
| Credential | PA-C |
| Practice Address |
184 Tarrytown Rd Manchester NH 03103-2713 |
| Mailing Address |
261 Pumpkin Hill Rd Warner NH 03278-4519 |
| Practice Telephone | 6036271102 |
| Practice Fax Number | 6036475524 |
| Mailing Telephone | 6034563415 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0698 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1184933871 | Lisa Guertin | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-2200 | 2010-09-29 |
| Street Address |
184 TARRYTOWN RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710976964 | Lawrence Michael Hoepp | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| 1043607781 | Jessica M Montemayor | Physician Assistant | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2015-04-21 |
| 1699012492 | Amoskeag Health | Clinic/Center | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2013-01-14 |
| 1912170614 | Daiying Lu | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2008-04-02 |
| 1437287893 | Lawrence M . Hoepp, Md, Pa | Specialist | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2007-02-28 |
| 1851444814 | Allison Kalil | Physician Assistant | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2007-01-20 |
| 1356380331 | Thomas E Meads | Surgery | 184 Tarrytown Rd, Elliot General Surgical Specialists, Manchester, NH 03103-2713 | 2006-06-05 |
| 1659321776 | Holly Leigh Desrosiers | Physician Assistant | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2006-05-11 |
| 1114902129 | Esthia Konstantinos Giakovis-sterling | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-12-13 |
| 1356330401 | Curtis John Kloc | Surgery | 184 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103479 | Mary Seaman | Physician Assistant | 497 Hooksett Rd # 142, Manchester, NH 03104-2632 | 2020-01-09 |
| 1619523669 | Romina Borbotsina | Physician Assistant | 2365 Elm St, Manchester, NH 03104-2207 | 2019-08-15 |
| 1750849253 | Huma Khan | Physician Assistant | 649 Middle Tpke W, Manchester, CT 06040-2760 | 2019-03-04 |
| 1457844474 | Coffee County Board of Education | Physician Assistant | 1343 Mcarthur St, Manchester, TN 37355-2425 | 2018-06-13 |
| 1275026049 | Senait B. Taffere | Physician Assistant | 8 Northbrook Dr Unit 805, Manchester, NH 03102-8564 | 2018-06-07 |
| 1891029377 | Rachael Anne Gilbert | Physician Assistant | 87 Mcgregor St Ste 3100, Manchester, NH 03102-3766 | 2009-09-30 |
| 1376689356 | Mark E. Simmons | Physician Assistant | Hospitalist Program - Elliot Hospital, One Elliot Way, Manchester, NH 03103 | 2007-01-29 |
| 1447334933 | Catherine Marie Patterson | Physician Assistant | 1300 Mcarthur St, Manchester, TN 37355-2426 | 2006-10-24 |
| 1457446346 | Heather S Tibbs | Physician Assistant | 100 Mcgregor Street, Manchester, NH 03102 | 2006-10-04 |
| 1356359889 | Kim Marie Latterner | Physician Assistant | 115 Hickory Dr, Manchester, PA 17345-9502 | 2006-08-03 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.