LISA BROKAW (NPI# 1851352652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851352652 |
| Entity Type | Individual |
| Full Name | LISA BROKAW |
| Credential | CRNA |
| Practice Address |
2600 Sixth St Sw Ohio Hospital Based Physician Corp Canton OH 44710 |
| Practice Telephone | 3303637462 |
| Practice Fax Number | 3303637679 |
| Mailing Telephone | 3303637462 |
| Mailing Fax Number | 3303637679 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN166143 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0803447 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104305515 | Lisa M Brokaw | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2018-08-08 |
| Street Address |
2600 SIXTH ST SW OHIO HOSPITAL BASED PHYSICIAN CORP |
| City | CANTON |
| State | OH |
| Zip Code | 44710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619258 | Roberto Novoa | Specialist | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2005-06-15 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1023633088 | Harry Garrett Oldland | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-06-15 |
| 1063036754 | Mena Habib Morcos | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-29 |
| 1649891185 | Kathy Jane Minger | Registered Nurse | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-06 |
| 1376164186 | Abigail Chauvin | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-04 |
| 1285254508 | Erik Keim | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1568082881 | Samantha Patterson | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1104446327 | Varun Rakesh Ravindran | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1306466537 | Brittany Gast | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264040 | Brandi Hanchosky | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw # 100, Canton, OH 44718-3673 | 2017-09-13 |
| 1952841637 | Andrew Joseph Proctor | Nurse Anesthetist, Certified Registered | 800 Pheasant Woods Drive, Canton, MI 48188-5224 | 2017-03-01 |
| 1083166383 | Khushbu Modi | Nurse Anesthetist, Certified Registered | 276 Harmony Lake Dr, Canton, GA 30115-4781 | 2016-11-03 |
| 1760930572 | Branden Joaquin Sibley | Nurse Anesthetist, Certified Registered | 6889 Wales Crossing St Nw Apt D, Canton, OH 44720-5383 | 2016-09-21 |
| 1366845554 | Mississippi Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 145 Sanctuary Ln, Canton, MS 39046-6601 | 2014-10-01 |
| 1104236884 | Anne Elizabeth Murray | Nurse Anesthetist, Certified Registered | 173 Dedham St, Canton, MA 02021-1560 | 2014-05-02 |
| 1952593865 | Brett T King | Nurse Anesthetist, Certified Registered | 208 Towne Overlook Dr, Canton, GA 30114-7239 | 2007-08-14 |
| 1184767436 | Sed 8 Inc. | Nurse Anesthetist, Certified Registered | 1017 Field St Nw, Canton, OH 44709-1635 | 2007-02-15 |
| 1144246190 | Elfrieda Marie Londeree | Nurse Anesthetist, Certified Registered | Ohio Hospital Based Physician Corp, 2600 Sixth Street Sw, Canton, OH 44710 | 2006-07-14 |
| 1528010675 | Brian K Norcia | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | 2006-05-17 |
| Find all providers in CANTON | ||||
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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.