LISA ANN POPOVICH


Address: 3703 Canon Ridge Pl, Columbus, OH 43230-4010
Phone: 6142144223

LISA ANN POPOVICH (NPI# 1891394235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891394235
Entity Type Individual
Full Name LISA ANN POPOVICH
Credential AGNP -BC
Practice Address 3703 Canon Ridge Pl
Columbus
OH 43230-4010
Mailing Address 5038 Common Good Ln
Dublin
OH 43016-9700
Practice Telephone 6142144223
Mailing Telephone 6142144223
Enumeration Date 2020-10-17
Last Update Date 2020-10-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
0027812 OH Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
419374 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3703 CANON RIDGE PL
City COLUMBUS
State OH
Zip Code 43230-4010

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548812159 Holly Penix Nurse Practitioner 223 Bluewing Ct, Columbus, OH 43235-1490 2019-07-13
1558840496 Sheila Parker Strickland Nurse Practitioner 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 2018-08-11
1669992822 Susan Lee Mcfall Nurse Practitioner 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 2017-06-20
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1285095802 Laura Aumiller Nurse Practitioner 842 Grandview Ave, Columbus, OH 43215-1124 2016-03-09
1457741498 Roshann Palmer Nurse Practitioner 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 2015-01-29
1548650617 Katherine Marie Wallace Nurse Practitioner 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 2015-01-28
1144637299 Jody Anne Howell Nurse Practitioner 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 2014-07-21
1538589536 Courtney Dubois Shihabuddin Nurse Practitioner 750 E Long St Ste 3000, Columbus, OH 43203-1874 2014-04-17
1871832550 Jennifer Lynn Grant Nurse Practitioner 836 Jackson St., Columbus, IN 47201 2013-01-31
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Competitor

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City COLUMBUS
Zip Code 43230

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Dataset Information

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.

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