Lisa G Pearson (NPI# 1790749604, PAC ID# 7416847157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1790749604 |
| PAC ID by PECOS | 7416847157 |
| Professional Enrollment ID | I20110913000666 |
| Full Name | Lisa G Pearson |
| Organization Legal Name | METAMORPHOSIS LTD |
| Address |
4700 Castleton Way Suite 102 Castle Rock CO 80109-7897 |
| Phone Number | 7193710000 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1456573427 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061344 |
| Address | Phone | Organization |
|---|---|---|
| 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 | 7193710000 | METAMORPHOSIS LTD |
| 1338 Phay Ave, Canon City, CO 81212-2302 | 7192852000 | METAMORPHOSIS LTD |
| 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 | 7193710000 | METAMORPHOSIS LTD |
| 2140 Hollow Brook Dr, Suite 110, Colorado Springs, CO 80918-1489 | 7193710000 | METAMORPHOSIS LTD |
| Organization Legal Name | METAMORPHOSIS LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gia Regine Forbes | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 2140 Hollow Brook Dr, Suite 110, Colorado Springs, CO 80918-1489 |
| Susan K Frady | Nurse Practitioner | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Michael S Mohr | Nurse Practitioner | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Robert J Howell | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Michael P Rucker | Certified Registered Nurse Anesthetist (crna) | Metamorphosis Ltd | 113 Latigo Ln, Suite D, Canon City, CO 81212-8115 |
| Dante O Langston | Physician Assistant | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Jill K Erlenbusch | Nurse Practitioner | Metamorphosis Ltd | 1338 Phay Ave, Canon City, CO 81212-2302 |
| Street Address |
4700 CASTLETON WAY SUITE 102 |
| City | CASTLE ROCK |
| State | CO |
| Zip | 80109-7897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianne C March | Occupational Therapy | Colorado Hand Center PC | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Steven M Topper | Hand Surgery | Colorado Hand Center PC | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Gregg G Martyak | Orthopedic Surgery | Colorado Hand Center PC | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Stephanie O Barreire | Nurse Practitioner | Colorado Hand Center PC | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Eric Harmon | Occupational Therapy | Colorado Hand Center PC | 4700 Castleton Way, Suite 102, Castle Rock, CO 80109-7897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett E Moen | Optometry | 658 Genoa Way Unit B, Elevation Vision Od, Castle Rock, CO 80109-1982 | |
| Ryan T Reid | Optometry | 3750 Dacoro Ln, Suite 140, Castle Rock, CO 80109-2514 | |
| Cory M Campbell | Chiropractic | 3750 Dacoro Ln, Suite 135, Castle Rock, CO 80109-2514 | |
| Andrew Trevino | Physical Therapy | Denver Physical Therapy, P.C. | 900 Castleton Rd, Suite 100, Castle Rock, CO 80109-7548 |
| Jennifer Molner | Physical Therapy | Denver Physical Therapy, P.C. | 900 Castleton Rd, Suite 100, Castle Rock, CO 80109-7548 |
| Chad M Hancock | Physical Therapy | Denver Physical Therapy, P.C. | 900 Castleton Rd, Suite 100, Castle Rock, CO 80109-7548 |
| James D Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109-8034 | |
| Larry Clark | Obstetrics/gynecology | Obgyn Affiliates | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109-8034 |
| Kathryn L Reed | Nurse Practitioner | Portercare Adventist Health System | 2356 Meadows Blvd, Suite 240b, Castle Rock, CO 80109-8405 |
| Anju K Sidhu | Gastroenterology | Portercare Adventist Health System | 2342 Meadows Blvd, Suite 300, Castle Rock, CO 80109-8405 |
| Find all physicians in zip 80109 | |||
| City | CASTLE ROCK |
| Zip Code | 80109 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CASTLE ROCK + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.