MRS. LISA M BRODAK (NPI# 1922044403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922044403 |
| Entity Type | Individual |
| Full Name | MRS. LISA M BRODAK |
| Credential | CRNP |
| Practice Address |
1142 National Pike Hopwood PA 15445-2250 |
| Practice Telephone | 7244372147 |
| Practice Fax Number | 7244388856 |
| Mailing Telephone | 7244372147 |
| Mailing Fax Number | 7244388856 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | VP003902B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1142 NATIONAL PIKE |
| City | HOPWOOD |
| State | PA |
| Zip Code | 15445-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316982416 | John A Sunyecz | Obstetrics & Gynecology | 1142 National Pike, Hopwood, PA 15445-2250 | 2006-06-20 |
| 1811391972 | Monongalia County General Hospital Company | Obstetrics & Gynecology | 1142 National Pike, Hopwood, PA 15445-2250 | 2014-10-20 |
| 1619227063 | Alisa Benedict | Physician Assistant | 1142 National Pike, Hopwood, PA 15445-2250 | 2012-09-13 |
| 1902069180 | Leah Marie Kirsch | Nurse Practitioner | 1142 National Pike, Hopwood, PA 15445-2250 | 2008-07-08 |
| 1811928997 | Laurel Highlands Obgyn, P.C. | Obstetrics & Gynecology | 1142 National Pike, Hopwood, PA 15445-2250 | 2006-07-06 |
| 1750311015 | Lawrence J Glad | Obstetrics & Gynecology | 1142 National Pike, Hopwood, PA 15445-2250 | 2006-07-03 |
| 1669402921 | Christine B Wilson | Obstetrics & Gynecology | 1142 National Pike, Hopwood, PA 15445-2250 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241974 | Andrea Lewandowski Grindle | Physical Therapist | 146 Old Oaks Road, Hopwood, PA 15445 | 2020-10-06 |
| 1750417259 | Robert Bart Bigham | Dentist | 1255 National Pike, Hopwood, PA 15445 | 2007-02-26 |
| 1083765838 | Brandy Lynn Keener | Optometrist | 1249 Old National Pike, Hopwood Eye Center, Hopwood, PA 15445 | 2007-01-16 |
| 1104993435 | Twin Oaks Home Care Inc. | Home Health Aide | 1193 National Pike East, Hopwood, PA 15445 | 2006-11-30 |
| 1841307402 | Frederick Josef Bonchosky | Pharmacist | 1238 National Pike, Hopwood, PA 15445 | 2006-08-23 |
| 1598796047 | George A Wilhelm | Chiropractor | 1263 National Pike, Hopwood, PA 15445 | 2006-07-05 |
| 1912993270 | Emma Janeen Miller | Chiropractor | 1263 Natioal Pike, Hopwood, PA 15445 | 2005-09-22 |
| 1720487317 | Tracy Henry | Massage Therapist | 1263 National Pike, Hopwood, PA 15445 | 2014-08-19 |
| 1487831459 | George A. Wilhelm | Chiropractor | 1263 National Pike, Hopwood, PA 15445 | 2008-01-22 |
| 1073612636 | Geoffrey Allen Gwynn Sr. | Dentist | 1190 E. National Pike, Hopwood, PA 15445-0051 | 2006-09-21 |
| Find all providers in zip 15445 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.