Lisa A. Vivian (NPI# 1285940098, PAC ID# 6800083007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1285940098 |
| PAC ID by PECOS | 6800083007 |
| Professional Enrollment ID | I20101214001108 |
| Full Name | Lisa A. Vivian |
| Organization Legal Name | ORTHOPEDIC AND SPINE THERAPY OF GREEN BAY SC |
| Address |
211 N Broadway Suite 105 Green Bay WI 54303-2757 |
| Phone Number | 9204329040 |
| Gender | F |
| Graduation Year | 1984 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3072416502 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 211 N Broadway, Suite 105, Green Bay, WI 54303-2757 | 9204329040 | ORTHOPEDIC AND SPINE THERAPY OF GREEN BAY SC |
| Organization Legal Name | ORTHOPEDIC AND SPINE THERAPY OF GREEN BAY SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul S Barnett | Physical Therapy | Orthopedic and Spine Therapy of Green Bay Sc | 3108 Mid Valley Dr, De Pere, WI 54115-9436 |
| Matthew J Melotte | Physical Therapy | Orthopedic and Spine Therapy of Green Bay Sc | 211 N Broadway, Suite 105, Green Bay, WI 54303-2757 |
| Street Address |
211 N BROADWAY SUITE 105 |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-2757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Melotte | Physical Therapy | Orthopedic and Spine Therapy of Green Bay Sc | 211 N Broadway, Suite 105, Green Bay, WI 54303-2757 |
| Joseph R Dobson | Family Practice | East Side Family Practice Sc | 211 N Broadway, Suite 103, Green Bay, WI 54303-2757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
| Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Bridget E Harcus-wickersham | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Kenneth Sann | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Mark W Bocik | Certified Registered Nurse Anesthetist (crna) | 1077 W Mason St, Green Bay, WI 54303-1858 | |
| Julaine B Feld | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Lana C Cheslock | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Marilyn Brennan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Cynthia S Heffernan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Michael Scott Servi | Optometry | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Find all physicians in zip 54303 | |||
| City | GREEN BAY |
| Zip Code | 54303 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GREEN BAY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Lisa A. Vivian.
| 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.