Lisa D Fetters (NPI# 1104254473, PAC ID# 7416184262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104254473 |
| PAC ID by PECOS | 7416184262 |
| Professional Enrollment ID | I20131226000882 |
| Full Name | Lisa D Fetters |
| Organization Legal Name | FIRST CARE PC |
| Address |
3706 Winchester Dr Suite 200 Portsmouth VA 23707-4332 |
| Phone Number | 7573934124 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557351939 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490044 | SENTARA OBICI HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 | 7573934124 | FIRST CARE PC |
| Organization Legal Name | FIRST CARE PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Hills | Nurse Practitioner | First Care PC | 4053 Taylor Rd K, Chesapeake, VA 23321-5526 |
| Kaycie L Cartwright | Physician Assistant | First Care PC | 1105 Halifax Ave, Suite 200, Portsmouth, VA 23707-4026 |
| Chung U Chung | Family Medicine | First Care PC | 2595 Victory Blvd, Portsmouth, VA 23702-2315 |
| Bernice V Francis | Nurse Practitioner | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Rise F Dajao | Family Medicine | First Care PC | 4053 Taylor Rd K, Chesapeake, VA 23321-5526 |
| Rogaciano Macairan Dajao | Family Medicine | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Mansukhlal R Ramolia | Family Medicine | First Care PC | 4053 Taylor Rd K, Chesapeake, VA 23321-5526 |
| Nicole M Watson | Nurse Practitioner | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Kathy H Grillo | Nurse Practitioner | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Hwang R Kuo | Family Practice | First Care PC | 1105 Halifax Ave, Portsmouth, VA 23707-4026 |
| Street Address |
3706 WINCHESTER DR SUITE 200 |
| City | PORTSMOUTH |
| State | VA |
| Zip | 23707-4332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernice V Francis | Nurse Practitioner | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Rogaciano Macairan Dajao | Family Medicine | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Nicole M Watson | Nurse Practitioner | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Kathy H Grillo | Nurse Practitioner | First Care PC | 3706 Winchester Dr, Suite 200, Portsmouth, VA 23707-4332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Doss | Physical Medicine and Rehabilitation | 500 Rodman Ave, Suite 1, Portsmouth, VA 23707-3100 | |
| Vihang A Bajani | Podiatry | Seva Foot and Ankle Center | 3511 Western Branch Blvd, Portsmouth, VA 23707-3133 |
| Debra J Aleck | Podiatry | 3511 Western Branch Blvd, Portsmouth, VA 23707-3133 | |
| Laura Anne Riddle | Nurse Practitioner | Maryview Hospital | 3640 High St, Suite 1a, Portsmouth, VA 23707-3213 |
| Harish Iyer | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 3640 High St, 2g, Portsmouth, VA 23707-3213 |
| John M Lawson | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 3640 High St, 2g, Portsmouth, VA 23707-3213 |
| Michael A Gebel | Neurology | Maryview Hospital | 3640 High St, Suite 1a, Portsmouth, VA 23707-3213 |
| Daniel A Neumann | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 3640 High St, 2g, Portsmouth, VA 23707-3213 |
| Norman R Goldin | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 3640 High St, 2g, Portsmouth, VA 23707-3213 |
| Thomas J Duntemann | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 3640 High St, 2g, Portsmouth, VA 23707-3213 |
| Find all physicians in zip 23707 | |||
| City | PORTSMOUTH |
| Zip Code | 23707 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORTSMOUTH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lisa D Fetters.
| 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.