Lisa M Malone (NPI# 1588647523, PAC ID# 2961471180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1588647523 |
| PAC ID by PECOS | 2961471180 |
| Professional Enrollment ID | I20150611003342 |
| Full Name | Lisa M Malone |
| Organization Legal Name | ENTERPRISE CLINIC LLC |
| Address |
805 E Lee St C Enterprise AL 36330-2477 |
| Phone Number | 3343488818 |
| Gender | F |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1456488667 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010049 | MEDICAL CENTER ENTERPRISE |
| Address | Phone | Organization |
|---|---|---|
| 400 N Edwards St, Enterprise, AL 36330-2510 | 3343484278 | ENTERPRISE CLINIC LLC |
| 805 E Lee St C, Enterprise, AL 36330-2477 | 3343488818 | ENTERPRISE CLINIC LLC |
| Organization Legal Name | ENTERPRISE CLINIC LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghassan Dalati | Internal Medicine | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Megan Dickey | Certified Nurse Midwife | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Richard Allen Roller | Family Practice | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Robert Pelfrey | Urology | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Nikki Lashay Chen | Nurse Practitioner | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Street Address |
805 E LEE ST C |
| City | ENTERPRISE |
| State | AL |
| Zip | 36330-2477 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghassan Dalati | Internal Medicine | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Megan Dickey | Certified Nurse Midwife | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Richard Allen Roller | Family Practice | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Robert Pelfrey | Urology | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Nikki Lashay Chen | Nurse Practitioner | Enterprise Clinic LLC | 805 E Lee St C, Enterprise, AL 36330-2477 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Bender Jr. | Optometry | 1020 Boll Weevil Circle, Suite B, Enterprise, AL 36330-1317 | |
| Susan H Walthaus | Physical Therapy | Healthactions Pa | 1109 Boll Weevil Circle, Suite 2, Enterprise, AL 36330-1454 |
| Charles J West | Physical Therapy | Healthactions Pa | 1109 Boll Weevil Circle, Suite 2, Enterprise, AL 36330-1454 |
| William Wade Sharp | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Sandy L Griffin | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Robin D Simmons | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Chris Claassen | Anesthesiology | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Lisa M Wallace | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Michael T Kreger | Anesthesiology | Anesthesia Consultants Medical Group PC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Mark A Byard | Urology | Wiregrass Urology, PC | 207 E Watts St, Suite 200, Enterprise, AL 36330-1871 |
| Find all physicians in zip 36330 | |||
| City | ENTERPRISE |
| Zip Code | 36330 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ENTERPRISE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Lisa M Malone.
| 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.