LISA WAITE JACOBSON (NPI# 1922073766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922073766 |
| Entity Type | Individual |
| Full Name | LISA WAITE JACOBSON |
| Credential | D.O. |
| Practice Address |
8872 Professional Dr Cadillac MI 49601-8481 |
| Practice Telephone | 2317796260 |
| Practice Fax Number | 2317796264 |
| Mailing Telephone | 2317796260 |
| Mailing Fax Number | 2317796264 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
5101013549 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4420424 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235469115 | Lisa Jacobson | Occupational Therapist | 3724 Lacina Dr Sw, Iowa City, IA 52240-8620 | 2009-12-28 |
| 1154985810 | Lisa Ann Jacobson | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2019-04-29 |
| 1083904734 | Lisa M. Jacobson | Dentist | 230 W Jersey St, Medical Arts Building, Suite 209, C/o Dr. W. Silverman, Elizabeth, NJ 07202-1364 | 2011-04-14 |
| 1740413855 | Lisa Jacobson | Social Worker | 165 N Village Ave, Suite #201, Rockville Centre, NY 11570-3761 | 2009-08-24 |
| 1689813040 | Lisa Jacobson | Clinical Neuropsychologist | 1750 E Fairmount Ave, Department of Neuropsychology, Baltimore, MD 21231-1534 | 2009-02-09 |
| 1982865424 | Lisa C Jacobson | Psychologist | 4 Terry Dr, The Atrium, Suite 7, Newtown, PA 18940-1838 | 2008-06-18 |
| 1558529453 | Lisa Jacobson | Emergency Medicine | 407 Uluniu St, #411, Kailua, HI 96734-2519 | 2008-05-28 |
| 1588762595 | Lisa Jacobson | Optometrist | 400 Hillside Ave, Needham, MA 02494-1263 | 2006-09-21 |
| Street Address |
8872 PROFESSIONAL DR |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-8481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874288 | Dynamic Physical Therapy Inc | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2005-07-08 |
| 1619418282 | David Arthur Diver | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2017-03-16 |
| 1326428236 | Jordan Thomas Moriarty | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2015-06-05 |
| 1750761664 | Lisa Marie Thompson | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2015-06-05 |
| 1609274455 | Audiological Services of Cadillac | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2014-12-10 |
| 1003254384 | Deborah Kay Farst | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2013-06-10 |
| 1548562978 | Robert Kendell D.o.,p.c. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2010-11-17 |
| 1831333715 | Lisa Jacobson D.o., P.C. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2009-04-23 |
| 1508082462 | Terri Hamp | Physical Therapist | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2007-04-18 |
| 1659597508 | Walter J Witkowski | Physical Therapist | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
| Find all providers in zip 49601 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548562978 | Robert Kendell D.o.,p.c. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2010-11-17 |
| 1366417578 | Robert Jerome Kendell | Otolaryngology | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429568 | Hills Ent Institute Pllc | Otolaryngology | 43700 Woodward Ave Ste 201, Bloomfield Hills, MI 48302-5061 | 2018-06-02 |
| 1639402258 | Shant Ara Korkigian | Otolaryngology | 25500 Meadowbrook Rd Ste 220, Novi, MI 48375 | 2009-09-14 |
| 1992914725 | Theodore Alan Golden | Otolaryngology | 755 W Big Beaver, Suite 2111, Troy, MI 48084 | 2007-05-21 |
| 1407992480 | David M Kent | Otolaryngology | 100 Kirts Blvd, Troy, MI 48084-5251 | 2007-01-29 |
| 1356394803 | Northwoods Ear, Nose & Throat PC | Otolaryngology | 2611 Charlevoix Ave, Petoskey, MI 49770-8524 | 2006-05-18 |
| 1174588370 | Richard A Wandzel | Otolaryngology | 222 W Highland Rd, Highland, MI 48357-4504 | 2006-04-19 |
| 1427037282 | Steven Joe Kin | Otolaryngology | 2300 Haggerty Rd Ste 2130, West Bloomfield, MI 48323-2191 | 2006-01-11 |
| 1780112144 | Matthew Wesley Globerson | Otolaryngology | 25500 Meadowbrook Rd, Novi, MI 48375-1878 | 2017-05-30 |
| 1770024630 | Niki Patel | Otolaryngology | 1000 Harrington St, Mount Clemens, MI 48043 | 2017-03-12 |
| 1063951689 | Colin Byrd | Otolaryngology | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-02-15 |
| 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.