Lisa Miconi-correa (NPI# 1376830414, PAC ID# 6305018094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376830414 |
| PAC ID by PECOS | 6305018094 |
| Professional Enrollment ID | I20110929000782 |
| Full Name | Lisa Miconi-correa |
| Organization Legal Name | ENVISION PHYSICIAN SERVICES LLC |
| Address |
1345 W 1600 Orem UT 84057-2431 |
| Phone Number | 8012257971 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507175213 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4650 Harrison Blvd, Ogden, UT 84403-4303 | 8014794621 | OGDEN CLINIC PC |
| 4700 Harrison Blvd, Ogden, UT 84403-4303 | 8014753000 | OGDEN CLINIC PC |
| 5740 Crestwood Dr, Ogden, UT 84405-4869 | 8014797771 | OGDEN CLINIC PC |
| 1345 W 1600, Orem, UT 84057-2431 | 8012257971 | ENVISION PHYSICIAN SERVICES LLC |
| Organization Legal Name | ENVISION PHYSICIAN SERVICES LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Kaufman Scher | Nurse Practitioner | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| David D Poor | Family Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Brittany Pauline Collier | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Sandra J Kennedy | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Michael D Woolman | Family Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Marie Glasgow | Nurse Practitioner | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| Mary A. Gumbo | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Melissa Ginsburg | Nurse Practitioner | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| Elary V Johnson | Physician Assistant | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| Stephen R Tucker | Internal Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Street Address |
1345 W 1600 |
| City | OREM |
| State | UT |
| Zip | 84057-2431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Poor | Family Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Michael D Woolman | Family Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Stephen R Tucker | Internal Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Durga Parajuli | Nurse Practitioner | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Mary Michelle M Cashman Thomas | Nurse Practitioner | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Garrett Coombs | Ophthalmology | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
| Chad M Duford | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Daniel Robert Patty | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 157 N 400, Suite B7, Orem, UT 84057-1909 |
| Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Steven L Berry | Family Medicine | Central Utah Clinic P C | 173 N 400, Suite C11, Orem, UT 84057-1909 |
| Jamie M Monroe | Ophthalmology | 175 N 400 W, C10, Orem, UT 84057-1909 | |
| Jefferson M Allen | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Patricia Ann Beaty | Optometry | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
| Scott R Mckell | Podiatry | Foot and Ankle Clinics of Utah, P.C. | 157 N 400, Suite B7, Orem, UT 84057-1909 |
| William R Francis Jr. | Family Medicine | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Find all physicians in zip 84057 | |||
| City | OREM |
| Zip Code | 84057 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OREM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Miconi-correa.
| 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.