Lisa Walters (NPI# 1548227937, PAC ID# 1951435288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1548227937 |
| PAC ID by PECOS | 1951435288 |
| Professional Enrollment ID | I20100823000358 |
| Full Name | Lisa Walters |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Address |
994 W Jericho Tpke Suite 103 Smithtown NY 11787-3235 |
| Phone Number | 6318646647 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4486544186 |
| Number of Group Practice Members | 656 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330198 | SOUTH NASSAU COMMUNITIES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 6318646647 | PROHEALTH CARE ASSOCIATES LLP |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Physicians | 676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique Rowe | Physical Therapy | Prohealth Care Associates LLP | 3202 Bainbridge Ave, Apt D, Bronx, NY 10467-3947 |
| Phyllis G Simon-goldman | Pediatric Medicine | Prohealth Care Associates LLP | 270 Union Ave, Holbrook, NY 11741-1823 |
| Jack Baker Renfroe | Physical Therapy | Prohealth Care Associates LLP | 120 W 23rd St, New York, NY 10011-2473 |
| Christie G Mathew | Physical Therapy | Prohealth Care Associates LLP | 70 Maple Ave, Rockville Centre, NY 11570-4225 |
| Leslianne Barabash | Nurse Practitioner | Prohealth Care Associates LLP | 2840 Jerusalem Ave, Wantagh, NY 11793-2017 |
| Susanne Michelle Labarba | Allergy/immunology | Prohealth Care Associates LLP | 2 Lincoln Ave, Suite 201, Rockville Centre, NY 11570-5775 |
| Costantinos Stamboulis | Occupational Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Laura J Sheridan-kelchner | Obstetrics/gynecology | Prohealth Care Associates LLP | 720 Montauk Hwy, West Islip, NY 11795-4411 |
| Veronica Mastrogiacomo | Nurse Practitioner | Prohealth Care Associates LLP | 1610 Williamsbridge Rd, Bronx, NY 10461-6289 |
| Jennifer Olivella | Nurse Practitioner | Prohealth Care Associates LLP | 19616 Hillside Ave, Hollis, NY 11423-2125 |
| Street Address |
994 W JERICHO TPKE SUITE 103 |
| City | SMITHTOWN |
| State | NY |
| Zip | 11787-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Costantinos Stamboulis | Occupational Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Dennis William Treubig | Physical Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Richard E Koty | Ophthalmology | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| John Anthony Sobrevega | Physical Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Alessandro Asaro | Physical Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Christine M Colacino | Nurse Practitioner | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Jeffrey Karwoski | Internal Medicine | Prohealth Care Associates LLP | 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 |
| Meyer D Gershbaum | Urology | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Teresa A Esposito | Family Medicine | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Christopher Allison | Physician Assistant | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Haidee Ganz-bonhurst | Physical Therapy | 50 Route 111, Suite 103, Smithtown, NY 11787 | |
| Paula Pagan-rosas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Rosemary D Cabanillas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Angela R Cammarata | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Edward D Smith Iii | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Theresa A Keane | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jennifer Michelle Digiovanni | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Joanne M Varrichio | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Colleen J Kalman | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Find all physicians in zip 11787 | |||
| City | SMITHTOWN |
| Zip Code | 11787 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SMITHTOWN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lisa Walters.
| 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.