LISA BARR SURRATT


Address: 180 Wingo Way, Suite 306, Mt Pleasant, SC 29464-1810
Phone: 8438840447

LISA BARR SURRATT (NPI# 1902097843) 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) 1902097843
Entity Type Individual
Full Name LISA BARR SURRATT
Credential PA
Practice Address 180 Wingo Way
Suite 306
Mt Pleasant
SC 29464-1810
Mailing Address Po Box 751649
Charlotte
NC 28275-1649
Practice Telephone 8438840447
Mailing Telephone 8437891620
Mailing Fax Number 8437242440
Enumeration Date 2007-08-06
Last Update Date 2009-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1167 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC MEDICARE GROUP #-ROPER SAINT FRANCIS HEALTHCARE 9223 01

Office Location

Street Address 180 WINGO WAY
SUITE 306
City MT PLEASANT
State SC
Zip Code 29464-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003815259 Stanley C Hall Urology 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 2005-07-19
1114371846 Roper Saint Francis Physicians Network Durable Medical Equipment & Medical Supplies 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 2016-04-19
1285098939 Lillian Brandt Specialist 180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 2016-04-08
1235598525 Roper Saint Francis Physicians Network Internal Medicine 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 2016-02-16
1598142101 Roper Saint Francis Physicians Network Obstetrics & Gynecology 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 2015-05-04
1497184667 Charleston Ent Associates LLC Pharmacy 180 Wingo Way, Suite 103, Mt Pleasant, SC 29464-1810 2013-11-07
1629327713 Jessica Michelle Chepa Nurse Practitioner 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 2012-09-05
1093091761 Jesse William Price IIi Physician Assistant 180 Wingo Way, Suite 306, Mt Pleasant, SC 29464-1812 2011-10-26
1659663441 Andrew Clarke Flandry Family Medicine 180 Wingo Way, Suite 207, Mt Pleasant, SC 29464-1810 2011-05-11
1053613786 Brian R Obenza Physician Assistant 180 Wingo Way, Suite 204, Mt Pleasant, SC 29464-1810 2010-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811548241 Bradley Paul Anuszkiewicz Chiropractor 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 2019-09-26
1447808696 Laura Mariah Crouse Speech-Language Pathologist Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 2019-08-30
1912461807 Independent Optical Optometrist 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 2019-01-25
1417446204 Michael Adam Sugarman Clinical Neuropsychologist 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 2018-05-07
1578064192 Ancillary Specialists LLC Durable Medical Equipment & Medical Supplies 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 2018-02-28
1346769015 Christin Solomon Zerega Counselor Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 2017-09-14
1336660315 Charleston Neuropsychology LLC Psychologist 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 2017-06-29
1790219970 Adam Hudepohl Family Medicine 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 2017-04-14
1386181204 Alicia Taylor Speech-Language Pathologist 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 2017-01-30
1285181941 Tara Lynn Mast Physical Therapist 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 2016-09-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073022612 Gina Marie Sanitato Physician Assistant 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 2017-09-27
1417201419 Timothy Roger Stevens Physician Assistant 1075 S Hwy 89, Mt Pleasant, UT 84647 2012-10-30
1487926168 Heather Marie Patterson Physician Assistant 828 West Main St, Mt Pleasant, PA 15666 2012-01-27
1023111275 Michael T Fillenworth Physician Assistant 2591 South Leaton Rd, Mt Pleasant, MI 48858 2006-09-06
1811944168 Marilyn P Mcginty Physician Assistant 1629 E High St, Mt Pleasant, MI 48858-8409 2006-05-30
1023075215 Allan R Riggs Physician Assistant 600 East Preston, Cmu Health Services, Foust Hall 108, Mt Pleasant, MI 48859-0001 2006-05-01
1427028034 Lara H Blosser Physician Assistant 508 S Church St, Mt Pleasant, PA 15666-1702 2006-01-25
1699753244 Maureen L George Physician Assistant 828 W Main St, Mt Pleasant, PA 15666-1730 2006-01-04
1316594609 Kaitlin Roper Physician Assistant 913 Bowman Rd, Mt Pleasant, SC 29464-3235 2019-08-21
1558831420 Jacob P Crawford Physician Assistant 508 S Church St, Mt Pleasant, PA 15666-1702 2018-12-04
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Competitor

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City MT PLEASANT
Zip Code 29464

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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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