Ma Liza Ann Famador
LIFESPAN PHYSICIAN GROUP INC


Address: 77 Turnpike Ave, Portsmouth, RI 02871-1419
Phone: 4018637070

Ma Liza Ann Famador (NPI# 1760676548, PAC ID# 0648316935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1760676548
PAC ID by PECOS 0648316935
Professional Enrollment ID I20090929000573
Full Name Ma Liza Ann Famador
Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Address 77 Turnpike Ave
Portsmouth
RI 02871-1419
Phone Number 4018637070
Gender F
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2567455082
Number of Group Practice Members 600
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410012 THE MIRIAM HOSPITAL
410006 NEWPORT HOSPITAL

Other Locations

Address Phone Organization
185 A High Service Ave, North Providence, RI 02904-5114 4013546050 LIFESPAN PHYSICIAN GROUP INC
185 High Service Ave, North Providence, RI 02904-5114 4013546050 LIFESPAN PHYSICIAN GROUP INC
77 Turnpike Ave, Portsmouth, RI 02871-1419 4018637070 LIFESPAN PHYSICIAN GROUP INC
79 Turnpike Ave, Portsmouth, RI 02871-1419 4016837434 LIFESPAN PHYSICIAN GROUP INC

Organization Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Physicians 560

Physicians with the same organization

Name Specialty Organization Address
Roy Souaid Internal Medicine Lifespan Physician Group Inc 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486
Amritpal Singh Jawanda Family Medicine Lifespan Physician Group Inc 639 Metacom Ave, Warren, RI 02885-2348
Alisha Lakhani Rheumatology Lifespan Physician Group Inc 407 E Ave, Suite 250, Pawtucket, RI 02860-5290
Leah R Battista Obstetrics/gynecology Lifespan Physician Group Inc 148 W River St, Suite 1g, Providence, RI 02904-2615
Mahmoud Mowafy Internal Medicine Lifespan Physician Group Inc 164 Summit Ave, Providence, RI 02906-2853
Caroline Sizer Physical Medicine and Rehabilitation Lifespan Physician Group Inc 765 Allens Ave, Suite 110, Providence, RI 02905-5443
Christine Michele Leddy Psychiatry Lifespan Physician Group Inc 11 Friendship St, Newport, RI 02840-2209
Dana Siperstein Psychiatry Lifespan Physician Group Inc 167 Point St, Providence, RI 02903-4771
Brady Geronimo Case Psychiatry Lifespan Physician Group Inc 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Maurice Francis Joyce Iii Anesthesiology Lifespan Physician Group Inc 55 Lambert Lind Hwy, Warwick, RI 02886-1074

Office Location

Street Address 77 TURNPIKE AVE
City PORTSMOUTH
State RI
Zip 02871-1419

Physicians in the same location

Name Specialty Organization Address
Robert L Desrosiers Nurse Practitioner Lifespan Physician Group Inc 77 Turnpike Ave, Portsmouth, RI 02871-1419
Larry A Evans Dermatology Lifespan Physician Group Inc 77 Turnpike Ave, Portsmouth, RI 02871-1419
Kristin Fielding Family Medicine Lifespan Physician Group Inc 77 Turnpike Ave, Portsmouth, RI 02871-1419
Anne E Neuville Nurse Practitioner Lifespan Physician Group Inc 77 Turnpike Ave, Portsmouth, RI 02871-1419
Triste M Coulombe Obstetrics/gynecology Lifespan Physician Group Inc 77 Turnpike Ave, Portsmouth, RI 02871-1419
Faridah Tanya B Rodriguez Family Medicine Lifespan Physician Group Inc 77 Turnpike Ave, Portsmouth, RI 02871-1419

Physicians in the same zip code

Name Specialty Organization Address
Ravi V Nadimpalli Gastroenterology University Gastroenterology, LLC 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396
Margaret Camacho Psychologist, Clinical 107 Clock Tower Sq, Portsmouth, RI 02871-1396
Erica Von Villas Clinical Social Worker 101 Clock Tower Sq, Portsmouth, RI 02871-1396
Michael Joseph Moylan Jr. Nurse Practitioner University Gastroenterology, LLC 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396
Sara R Duggan Clinical Social Worker 107 Clock Tower Sq, Portsmouth, RI 02871-1396
Susan M Killebrew Clinical Social Worker 107 Clock Tower Sq, Portsmouth, RI 02871-1396
Carla M Evans Nurse Practitioner Lifespan Physician Group Inc 79 Turnpike Ave, Portsmouth, RI 02871-1419
Jillian Fenton Clinical Social Worker 11 King Charles Dr, Suite A4, Portsmouth, RI 02871-1446
John E Zeller Psychologist, Clinical 11 King Charles Dr, Suite A3b, Portsmouth, RI 02871-1446
Ronald P Marsh Chiropractic 11 King Charles Dr, Portsmouth, RI 02871-1446
Find all physicians in zip 02871

Competitor

Search similar physicians

City PORTSMOUTH
Zip Code 02871
Specialty FAMILY MEDICINE
City + Specialty PORTSMOUTH + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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