Lisa M Keith (NPI# 1194776013, PAC ID# 5092628636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194776013 |
| PAC ID by PECOS | 5092628636 |
| Professional Enrollment ID | I20061016000094 |
| Full Name | Lisa M Keith |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
8890 N Union Blvd 170 Uchmg Primary Care Briargate Colorado Springs CO 80920-2701 |
| Phone Number | 7193645005 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 8890 N Union Blvd, 170 Uchmg Primary Care Briargate, Colorado Springs, CO 80920-2701 | 7193645005 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
8890 N UNION BLVD 170 UCHMG PRIMARY CARE BRIARGATE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80920-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne P Osborn | Dermatology | Summit Dermatology, P.C. | 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-2701 |
| Karen J Seymour | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Jodie Kay Mesa | Family Medicine | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Rachael Degurse | Family Medicine | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Shannon Constantinides | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Breanna Frees | Physician Assistant | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Brittany Loeser | Physician Assistant | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Aleathia Ware | Nurse Practitioner | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Julie Sack | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Jacqueline A Skaggs | Internal Medicine | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Applebee | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Michael Joshua Wilhelm | Otolaryngology | Pikes Peak Ent | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 |
| Jonathan Luke Arnholt | Otolaryngology | Pikes Peak Ent | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 |
| Nathanael S Brady | Allergy/immunology | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 | |
| Brenda J Feller | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Allison J Atherton | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Tara M Burton | Physician Assistant | Skin Cancer and Dermatology Center of Colorado Springs, P.C. | 1975 Research Pkwy, Suite 165, Colorado Springs, CO 80920-1026 |
| Crystal Bw Evig | Obstetrics/gynecology | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Susan M Heffley | Family Medicine | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Nicole Taylor | Certified Nurse Midwife (cnm) | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Find all physicians in zip 80920 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLORADO SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa M Keith.
| 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.