Lisa G Nicely (NPI# 1235138496, PAC ID# 1153347570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1235138496 |
| PAC ID by PECOS | 1153347570 |
| Professional Enrollment ID | I20051014000715 |
| Full Name | Lisa G Nicely |
| Organization Legal Name | ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC |
| Address |
1989 Miamisburg Centerville Rd Suite 200 Dayton OH 45459-3858 |
| Phone Number | 9378327691 |
| Gender | F |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5799719613 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360079 | KETTERING MEDICAL CENTER |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 | 9378327691 | ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC |
| 921 S Edwin C Moses Blvd, Dayton, OH 45417-3464 | 9374611376 | FIVE RIVERS HEALTH CENTERS |
| Organization Legal Name | ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Suprenant | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 8721 N Main St, Dayton, OH 45415-1331 |
| John Stevenson | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| Marc Greenberg | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| Street Address |
1989 MIAMISBURG CENTERVILLE RD SUITE 200 |
| City | DAYTON |
| State | OH |
| Zip | 45459-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Mihok | Ophthalmology | 1989 Miamisburg Centerville Rd, Suite 300, Dayton, OH 45459-3858 | |
| Yassin Mustafa | Endocrinology | Alliance Physicians Inc | 1989 Miamisburg Centerville Rd, Suite 201, Dayton, OH 45459-3858 |
| John Stevenson | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| Percy Frasier | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Marc Greenberg | Podiatry | Associated Foot and Ankle Specialists of Ohio Inc | 1989 Miamisburg Centerville Rd, Suite 200, Dayton, OH 45459-3858 |
| Charles C Watson | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 304, Dayton, OH 45459-3823 |
| Kelly Lynn Welsh | Certified Clinical Nurse Specialist (cns) | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Anthony F Lugo | Family Practice | Providence Medical Group | 1989 Miamisburg Centerville Rd, Suite 301, Centerville, OH 45459-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Hirt | Family Medicine | Premier Integrated Medical Assoc Ltd | 6520 Acro Court, Centerville, OH 45459 |
| James R Ouellette | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Matthew P Doepker | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Leandra Gray | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Kamran A Jafree | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| John H Matsuura | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Murtuza H Habeeb | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Jessica R Wozniak | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
| Sharda Gupta | Pathology | 5895 Batsford Dr, Dayton, OH 45459-1456 | |
| Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | |
| Find all physicians in zip 45459 | |||
| City | DAYTON |
| Zip Code | 45459 |
| Specialty | PODIATRY |
| City + Specialty | DAYTON + PODIATRY |
Please comment or provide details below to improve the information on Lisa G Nicely.
| 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.