LISA RENEE REZNICK MD, PA (NPI# 1982907465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982907465 |
| Entity Type | Organization |
| Organization Name | LISA RENEE REZNICK MD, PA |
| Practice Address |
4100 Fairway Dr Suite 120 Carrollton TX 75010-6525 |
| Mailing Address |
4100 Fairway Ct Suite 120 Carrollton TX 75010 |
| Practice Telephone | 9723959000 |
| Practice Fax Number | 9723959002 |
| Mailing Telephone | 9723959000 |
| Mailing Fax Number | 9723959002 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | LISA RENEE REZNICK (PHYSICIAN) |
| Authorized Official Telephone | 9723959000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | K0169 | TX | Suppliers |
| Street Address |
4100 FAIRWAY DR SUITE 120 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944366 | Alison Jennifer Taylor | Occupational Therapist | 4100 Fairway Dr, Ste 400, Carrollton, TX 75010-6525 | 2005-07-06 |
| 1144777814 | Amanda M Warneke | Physician Assistant | 4100 Fairway Dr, Suite 100, Carrollton, TX 75010-6525 | 2016-09-09 |
| 1093174062 | Jessica M. Novak | Physical Therapist | 4100 Fairway Dr, Suite 400, Carrollton, TX 75010-6525 | 2016-02-18 |
| 1851715304 | Tms Neuro Solutions, LLC | Clinic/Center | 4100 Fairway Dr, Suite 200, Carrollton, TX 75010-6525 | 2014-02-04 |
| 1821340472 | Fairway Pediatrics, Pllc | Pediatrics | 4100 Fairway Dr, Suite 300, Carrollton, TX 75010-6525 | 2012-10-06 |
| 1508115718 | Fairway Family Medicine-primary Care, Pllc | Clinic/Center | 4100 Fairway Dr, 320, Carrollton, TX 75010-6525 | 2012-09-04 |
| 1992071724 | Thomas Adams | Physical Therapist | 4100 Fairway Dr, Suite 400, Carrollton, TX 75010-6525 | 2012-03-27 |
| 1134491046 | Summit Behavioral Health Pllc | Psychiatry & Neurology | 4100 Fairway Dr, Bldg # 200, Carrollton, TX 75010-6525 | 2012-02-08 |
| 1093099558 | Realtime Laboratories, Inc | Clinical Medical Laboratory | 4100 Fairway Dr, Ste 600, Carrollton, TX 75010-6525 | 2011-10-03 |
| 1508910316 | Charles Steven Manley | Psychologist | 4100 Fairway Dr, Ste. 200, Carrollton, TX 75010-6525 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487283586 | Progressive Health Resources LLC | Durable Medical Equipment & Medical Supplies | 1508 E Belt Line Rd Ste 102, Carrollton, TX 75006-6363 | 2020-04-02 |
| 1841820107 | Titan Chair LLC | Durable Medical Equipment & Medical Supplies | 1303 Marsh Ln, Carrollton, TX 75006-5430 | 2020-01-24 |
| 1841858313 | Chelseadme, LLC | Durable Medical Equipment & Medical Supplies | 1420 Valwood Pkwy Ste 166, Carrollton, TX 75006-8308 | 2019-05-30 |
| 1184187007 | Topsey Medical Equipment Supply LLC | Durable Medical Equipment & Medical Supplies | 1925 E Belt Line Rd Ste 352, Carrollton, TX 75006-5848 | 2019-04-08 |
| 1083159677 | Bluegrass Drug Center Inc | Durable Medical Equipment & Medical Supplies | 1955 Hwy 227, Carrollton, KY 41008-8037 | 2017-01-05 |
| 1467995167 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 13554 Carrollton Blvd, Carrollton, VA 23314-3210 | 2016-11-29 |
| 1275982076 | Clinger Enterprises Inc | Durable Medical Equipment & Medical Supplies | 1835 E Branch Hollow Dr, Carrollton, TX 75007-1437 | 2016-06-13 |
| 1194121491 | Joshua Salley | Durable Medical Equipment & Medical Supplies | 1545 Capital Dr Ste 105, Carrollton, TX 75006-3668 | 2014-11-13 |
| 1255734158 | Basswood Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1001 E Hebron Pkwy, Suite 118-106, Carrollton, TX 75010-1002 | 2014-10-06 |
| 1881095057 | Lts Compression, LLC | Durable Medical Equipment & Medical Supplies | 2410 Luna Rd Ste 248, Carrollton, TX 75006-6538 | 2014-09-08 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.