MRS. LISA MARIE SULLIVAN (NPI# 1891031324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891031324 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE SULLIVAN |
| Credential | P.A. |
| Practice Address |
110 Fort Couch Rd Suite 203 Pittsburgh PA 15241-1030 |
| Mailing Address |
721 Roselawn Ave Unit C6 Mt Lebanon PA 15228-2260 |
| Practice Telephone | 4128313300 |
| Mailing Telephone | 7165234048 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
| 1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
| Street Address |
110 FORT COUCH RD SUITE 203 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15241-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399026 | Shelana Marie Gibbs-mcelvy | Physical Medicine & Rehabilitation | 110 Fort Couch Rd, Pittsburgh, PA 15241-1030 | 2005-07-12 |
| 1578185344 | Radhika Kothapalli | Behavioral Analyst | 110 Fort Couch Rd, Pittsburgh, PA 15241-1030 | 2020-05-14 |
| 1184164717 | Elyse Ann Milliron | Social Worker | 110 Fort Couch Rd, Suite G-200, Pittsburgh, PA 15241-1030 | 2017-03-01 |
| 1962870691 | Andrew Hart | Counselor | 110 Fort Couch Rd, Suite #201, Pittsburgh, PA 15241-1030 | 2015-09-11 |
| 1831576354 | Lazor & Benlock Home Health Inc. | Home Health | 110 Fort Couch Rd, Pittsburgh, PA 15241-1030 | 2015-05-05 |
| 1629492905 | Elysia Taryn Foley | Counselor | 110 Fort Couch Rd, Pittsburgh, PA 15241 | 2014-02-07 |
| 1225308430 | Sarah Ashley Reed-lieb | Counselor | 110 Fort Couch Rd, Ste. 201, Pittsburgh, PA 15241-1030 | 2012-01-04 |
| 1841512712 | Rebecca Ann Kratofil | Counselor | 110 Fort Couch Rd, 2nd Floor, Pittsburgh, PA 15241-1030 | 2010-02-19 |
| 1336473099 | Ryan Patrick Delaney | Social Worker | 110 Fort Couch Rd, Pittsburgh, PA 15241-1030 | 2009-09-29 |
| 1194959817 | Julie Ann Bowden | Psychologist | 110 Fort Couch Rd, Pittsburgh, PA 15241-1030 | 2009-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526649 | Lea Jean Grondziowski | Pharmacist | 1580 Mclaughlin Run Rd Ste 212, Suite 212, Pittsburgh, PA 15241 | 2020-07-29 |
| 1689185522 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 100 S Hills Village, Pittsburgh, PA 15241 | 2017-10-18 |
| 1578072450 | Joann Mary Seigel | Pharmacist | 410 Carmell Drive, Pittsburgh, PA 15241 | 2017-09-24 |
| 1477973899 | Rebecca E Bollinger | Pharmacist | 201 S Hills Vlg Dr, Pittsburgh, PA 15241 | 2014-04-24 |
| 1457780629 | Christina M Bordick | Physician Assistant | 110 Fort Couch Rd Ste 203, Pittsburgh, PA 15241 | 2013-11-07 |
| 1427315464 | Township of Upper St. Clair | Dietitian, Registered | 1551 Mayview Rd., Pittsburgh, PA 15241 | 2012-04-16 |
| 1568764033 | Embrace The Child, Ltd. | Speech-Language Pathologist | 121 Brookside Blvd, Pittsburgh, PA 15241 | 2010-12-03 |
| 1013218239 | Erin L Heirendt | Counselor | 2585 Washington Rd., Bld 100 Suite 132, Upper St. Clair, PA 15241 | 2010-11-04 |
| 1790927440 | Mary Anne Gloninger Christ | Psychologist | 1700 N Highland Ave, Suite 103, Pittsburgh, PA 15241 | 2009-03-26 |
| 1629228325 | Lynne Logan | Marriage & Family Therapist | 1725 Wahington Road, #509, Pittsburgh, PA 15241 | 2008-09-30 |
| Find all providers in zip 15241 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
| 1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
| 1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
| 1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
| 1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
| 1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
| 1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
| 1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15241 |
Please comment or provide details below to improve the information on MRS. LISA MARIE SULLIVAN.
| 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.