LISA DAS (NPI# 1962486886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962486886 |
| Entity Type | Individual |
| Full Name | LISA DAS |
| Credential | M.D. |
| Practice Address |
631b North St Gastroenterology of The Berkshires Pittsfield MA 01201-4102 |
| Mailing Address |
26 Tamie Way Pittsfield MA 01201-8221 |
| Practice Telephone | 4132365944 |
| Practice Fax Number | 4132365944 |
| Mailing Telephone | 4132360902 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 159073 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02004180 | 05 | |
| MA | CAPITAL DISTRICT PHP | 10034406 | 01 |
| MA | HAVARD PILGRAM HEALTH CAR | 303392 | 01 |
| MA | 3207455 | 05 | |
| MD | CIGNA HEALTH CARE | 5696434 | 01 |
| MA | BOSTON MEDICAL HEALTHNET | 000000024783 | 01 |
| MA | AMERICAN PIONEER | 7820068 | 01 |
| MA | MVP HEALTH CARE | 100811 | 01 |
| MA | GHI | 57120688 | 01 |
| MA | MA BLUE CROSS BLUE SHIELD | J21391 | 01 |
| MA | AETNA HEALTH CARE | 7820068 | 01 |
| MA | TUFTS HEALTH PLAN | 159073 | 01 |
| MA | HEALTH NEW ENGLAND | 24861 | 01 |
| MA | CHAMPUS TRICARE | 57120168801201A001 | 01 |
| Street Address |
631B NORTH ST GASTROENTEROLOGY OF THE BERKSHIRES |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471671 | Carolee Rose Harrigan | Nurse Practitioner | 631b North St, Pittsfield, MA 01201-4102 | 2019-01-29 |
| 1639668551 | Ebony A Alexander | Nurse Practitioner | 631b North St, Pittsfield, MA 01201 | 2018-05-07 |
| 1255851747 | Jennifer Rose Votruba | Physician Assistant | 631b North St, Pittsfield, MA 01201-4102 | 2017-06-26 |
| 1821430349 | Maxim Bitunov | Internal Medicine | 631b North St, Pittsfield, MA 01201-4102 | 2013-07-25 |
| 1639450919 | Jennifer Wolf Nugent | Nurse Practitioner | 631b North St, Pittsfield, MA 01201-4102 | 2011-08-31 |
| 1093027062 | Svetlin H Dinovski | Internal Medicine | 631b North St, Pittsfield, MA 01201-4102 | 2010-07-07 |
| 1043393895 | Malathi Yella | Internal Medicine | 631b North St, Suite A, Pittsfield, MA 01201-4102 | 2006-10-23 |
| 1174613848 | Linda Michele Schermerhorn | Nurse Practitioner | 631b North St, Pittsfield, MA 01201-4102 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1821435066 | Sopheap Nhim | Specialist | 28 National St, Pittsfield, MA 01201 | 2013-05-29 |
| 1194090522 | Pain Medicine & Rehabilitation Associates, P.C. | Specialist | 294 1st St, Pittsfield, MA 01201-4751 | 2012-03-19 |
| 1164713087 | Lana P Stevens | Specialist | 406 W Housatonic St, Pittsfield, MA 01201-6647 | 2011-04-26 |
| 1205899945 | John R Kearns | Specialist | 56 Charles St, Pittsfield, MA 01201-3302 | 2006-04-11 |
| 1265401822 | Stephen R St Clair | Specialist | 41 Wahconah St, Pittsfield, MA 01201-2627 | 2006-03-16 |
| 1992775035 | Daniel S Kusick | Specialist | 188 East St, Suite 102, Pittsfield, MA 01201-4102 | 2006-01-23 |
| 1194705459 | Pittsfield Cardiology, PC | Specialist | 188 East Street Suite 102, Pittsfield, MA 01201-4102 | 2006-01-20 |
| 1396747556 | Marcin Marek Zygawski | Specialist | 740 Williams St, Suite #3, Pittsfield, MA 01201-7463 | 2005-06-01 |
| 1851601231 | Behzad Parhizgar Md | Specialist | 195 South St, Pittsfield, MA 01201-6831 | 2010-10-19 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on LISA DAS.
| 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.