LISA M. HUNSICKER, MD, P.C. (NPI# 1891846663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891846663 |
| Entity Type | Organization |
| Organization Name | LISA M. HUNSICKER, MD, P.C. |
| Other Organization Name | REVALLA PLASTIC SURGERY |
| Practice Address |
7750 S Broadway Ste 150 Littleton CO 80122-2632 |
| Practice Telephone | 7202832500 |
| Practice Fax Number | 7202831122 |
| Mailing Telephone | 7202832500 |
| Mailing Fax Number | 7202831122 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | DR. LISA M HUNSICKER (OWNER) |
| Authorized Official Telephone | 7202832500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
00000 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DEA | BH7078303 | 01 |
| CO | MEDICARE PTAN | C543338 | 01 |
| CO | MEDICAL LIC | 36965 | 01 |
| Other Name | Type Code |
|---|---|
| Revalla Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
7750 S BROADWAY STE 150 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80122-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253893 | Lisa M Hunsicker | Plastic Surgery | 7750 S Broadway, Suite 150, Littleton, CO 80122 | 2005-05-31 |
| 1679024889 | Surgone, PC | Surgery | 7750 S Broadway, Suite 230, Littleton, CO 80122-2623 | 2016-10-24 |
| 1396104451 | Alexa Marie Fuller | Nurse Practitioner | 7750 S Broadway, Littleton, CO 80122-2623 | 2016-02-17 |
| 1154680221 | Portercare Adventist Health System | Internal Medicine | 7750 S Broadway, Suite 220, Littleton, CO 80122-2623 | 2012-05-10 |
| 1982987673 | Colleen Breanna Berry | Nurse Practitioner | 7750 S Broadway, Suite 150, Littleton, CO 80122-2623 | 2011-09-20 |
| 1497070098 | Colorado Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7750 S Broadway, Suite 160, Littleton, CO 80122-2623 | 2010-04-07 |
| 1881836906 | Portercare Adventist Health System | Internal Medicine | 7750 S Broadway, Suite 220, Littleton, CO 80122-2623 | 2009-04-03 |
| 1528238094 | Debra H Bowman Md Facog PC | Obstetrics & Gynecology | 7750 S Broadway, G20, Littleton, CO 80122-2623 | 2008-03-11 |
| 1609095207 | Katherine Tiedt | Nurse Practitioner | 7750 S Broadway, Suite 200, Littleton, CO 80122-2623 | 2007-04-24 |
| 1639397524 | Jeannie Key | Nurse Practitioner | 7750 S Broadway, Suite 200, Littleton, CO 80122 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982160933 | Alexandria Rodenbeek | Social Worker | Address: 7750 S Broadway #100, Littleton, CO 80122 | 2019-02-14 |
| 1306334495 | Dentists of Littleton, LLP | Dentist | 7330 S Broadway, Suite A130, Littleton, CO 80122 | 2018-04-25 |
| 1740789825 | Sarah Mccarthy | Social Worker | 5555 E. Arapahoe Rd., Arapahoe Medical Office, Centennial, CO 80122 | 2018-02-05 |
| 1447797105 | South Denver Musculoskeletal Surgical Partners, LLC | Clinic/Center | 300 E Mineral Ave Ste 9, Littleton, CO 80122 | 2017-01-19 |
| 1740645589 | Kristin Weller | Specialist/Technologist | 8117 S Franklin Ct, Centennial, CO 80122 | 2015-12-21 |
| 1831562024 | Vicki L. Earnshaw | Dental Hygienist | 7940 S. University Blvd., Suite 200, Centennial, CO 80122 | 2015-11-10 |
| 1194112847 | Mary Schroeter | Social Worker | 7950 S Lincoln St Ste 108, Littleton, CO 80122 | 2015-04-21 |
| 1568864981 | St Petro LLC | Assisted Living Facility | 7032 S Franklin St, Centennial, CO 80122 | 2014-09-17 |
| 1588009880 | Genesis Chiropractic Spine and Sports Center | Chiropractor | 7940 S University Blvd, Suite 100, Centennial, CO 80122 | 2013-05-01 |
| 1619218187 | Scott Richard Lapoint | Psychologist | 5161 E. Arapahoe Rd, Suite 415, Centennial, CO 80122 | 2013-03-08 |
| Find all providers in zip 80122 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977058 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 191, Steamboat Springs, CO 80487-8853 | 2020-09-20 |
| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LISA M. HUNSICKER, MD, P.C..
| 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.