Lisa A Koenig (NPI# 1700270105, PAC ID# 6103144373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700270105 |
| PAC ID by PECOS | 6103144373 |
| Professional Enrollment ID | I20161123001897 |
| Full Name | Lisa A Koenig |
| Organization Legal Name | NORTHEAST OHIO PRACTITIONER LLC |
| Address |
4369 Brecksville Rd Richfield OH 44286-9457 |
| Phone Number | 3306596166 |
| Gender | F |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385990662 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4369 Brecksville Rd, Richfield, OH 44286-9457 | 3306596166 | NORTHEAST OHIO PRACTITIONER LLC |
| Organization Legal Name | NORTHEAST OHIO PRACTITIONER LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina Aurslanian | Nurse Practitioner | Northeast Ohio Practitioner LLC | 9685 Chillicothe Rd, Kirtland, OH 44094-8503 |
| Lisa Gatrell-jacobs | Nurse Practitioner | Northeast Ohio Practitioner LLC | 2801 E Royalton Rd, Broadview Hts, OH 44147-2827 |
| Teresa A Chatmon-steele | Nurse Practitioner | Northeast Ohio Practitioner LLC | 4110 Rocky River Dr, Cleveland, OH 44135-1175 |
| Deanna Caveslio | Nurse Practitioner | Northeast Ohio Practitioner LLC | 1212 Barlow Rd, Hudson, OH 44236-3713 |
| Heather M Tully | Nurse Practitioner | Northeast Ohio Practitioner LLC | 6681 Ridge Rd, Suite 300, Parma, OH 44129-5705 |
| Shelley K Gorman | Nurse Practitioner | Northeast Ohio Practitioner LLC | 2801 E Royalton Rd, Broadview Hts, OH 44147-2827 |
| Street Address |
4369 BRECKSVILLE RD |
| City | RICHFIELD |
| State | OH |
| Zip | 44286-9457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Ash | Physical Therapy | Activ Physical Therapy | 3807 Brecksville Rd, Suite 4, Richfield, OH 44286-9165 |
| Ann Marie Djukic | Physical Therapy | Activ Physical Therapy | 3807 Brecksville Rd, Suite 4, Richfield, OH 44286-9165 |
| Gary C Domanick | Chiropractic | 4028 Broadview Rd, Suite C, Richfield, OH 44286-9230 | |
| Samir Y Mourad | Psychiatry | 3871 Broadview Rd, Richfield, OH 44286-9596 | |
| Randolph M Heinle | Family Practice | 3871 Broadview Rd, Richfield, OH 44286-9596 |
| City | RICHFIELD |
| Zip Code | 44286 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RICHFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa A Koenig.
| 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.