Lisa D Mullally
INDIANA SPORTS AND MEDICAL SCIENCE INSTITUTE, PC


Address: 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Phone: 2197798735

Lisa D Mullally (NPI# 1861462012, PAC ID# 3274568332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1861462012
PAC ID by PECOS 3274568332
Professional Enrollment ID I20070330000401
Full Name Lisa D Mullally
Organization Legal Name INDIANA SPORTS AND MEDICAL SCIENCE INSTITUTE, PC
Address 11275 Delaware Pkwy
Suite A
Crown Point
IN 46307-7812
Phone Number 2197798735
Gender F
Credential DO
Medical School CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2002
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2860662517
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150126 FRANCISCAN HEALTH CROWN POINT

Other Locations

Address Phone Organization
11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812 2197798735 INDIANA SPORTS AND MEDICAL SCIENCE INSTITUTE, PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 98%
ACI_EC_TRANS_HIE_1 Health Information Exchange 15%
ACI_EC_TRANS_MR_1 Medication Reconciliation 99%
ACI_EC_TRANS_PEA_1 Provide Patient Access 97%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 25%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 96%
ACI_EC_TRANS_SM_1 Secure Messaging 6%

Organization Information

Organization Legal Name INDIANA SPORTS AND MEDICAL SCIENCE INSTITUTE, PC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Colleen M Lustina Nurse Practitioner Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Timothy J Mullally Family Medicine Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Lauren C Parker Nurse Practitioner Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Kunteera Vachirasomboon Tarin Internal Medicine Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Susan L Blensdorf Nurse Practitioner Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812

Office Location

Street Address 11275 DELAWARE PKWY
SUITE A
City CROWN POINT
State IN
Zip 46307-7812

Physicians in the same location

Name Specialty Organization Address
Eric Clark Deakins Physical Therapy Ivyrehab Physical Therapy Pllc 11275 Delaware Pkwy, Suite B, Crown Point, IN 46307-7812
Christena S Wichowsky Physical Therapy Ivyrehab Physical Therapy Pllc 11275 Delaware Pkwy, Suite B, Crown Point, IN 46307-7812
Kevin T Sanborn Physical Therapy Ivyrehab Physical Therapy Pllc 11275 Delaware Pkwy, Suite B, Crown Point, IN 46307-7812
Colleen M Lustina Nurse Practitioner Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Timothy J Mullally Family Medicine Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Lauren C Parker Nurse Practitioner Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Kunteera Vachirasomboon Tarin Internal Medicine Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
Larry H Hall Physical Therapy Ivyrehab Physical Therapy Pllc 11275 Delaware Pkwy, Suite B, Crown Point, IN 46307-7812
Charles T. Damitz Physical Therapy Ivyrehab Physical Therapy, Pllc 11275 Delaware Pkwy, Suite B, Crown Point, IN 46307-7812
Susan L Blensdorf Nurse Practitioner Indiana Sports and Medical Science Institute, PC 11275 Delaware Pkwy, Suite A, Crown Point, IN 46307-7812
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Physicians in the same zip code

Name Specialty Organization Address
William A Zato Family Medicine Advanced Care Medical Specialists PC 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114
Kathleen J Decorte Nurse Practitioner Allergy Asthma Care P.C. 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098
Rebekah Jennifer Vega Nurse Practitioner Midwest Express Care 4 LLC 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098
Julie Ann Derosa Family Practice Aberdeen Ventures, Ltd. 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098
Miyako S Streeter Nurse Practitioner Midwest Express Care 4 LLC 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098
Dana Joy Hiskes Nurse Practitioner Midwest Express Care 4 LLC 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098
Kenneth W Blumenthal Allergy/immunology Allergy Asthma Care P.C. 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098
Margaret Bazarko Qualified Speech Language Pathologist Allergy Asthma Care P.C. 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098
Kerry Ann Kanaley Nurse Practitioner Midwest Express Care 4 LLC 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098
Akeela Benson Nurse Practitioner Midwest Express Care 4 LLC 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098
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Competitor

Search similar physicians

City CROWN POINT
Zip Code 46307
Specialty FAMILY MEDICINE
City + Specialty CROWN POINT + FAMILY MEDICINE

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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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