Lisa Thayer (NPI# 1023050879, PAC ID# 7719128503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023050879 |
| PAC ID by PECOS | 7719128503 |
| Professional Enrollment ID | I20130719000540 |
| Full Name | Lisa Thayer |
| Organization Legal Name | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| Address |
300 Crystal Run Rd Middletown NY 10941-4069 |
| Phone Number | 8456926999 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901792696 |
| Number of Group Practice Members | 428 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Crystal Run Rd, Middletown, NY 10941-4069 | 8456926999 | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| 807 State Route 17m, Monroe, NY 10950-2625 | 8457036999 | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| 1200 Route 300, Newburgh, NY 12550-5003 | 8457036999 | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| Organization Legal Name | CRYSTAL RUN HEALTHCARE PHYSICIANS LLP |
| Physicians | 429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Danielle Bujalski | Nurse Practitioner | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Eric Lonergan | Family Medicine | Crystal Run Healthcare Physicians LLP | 1200 Route 300, Newburgh, NY 12550-5003 |
| Grace Y Kang | Endocrinology | Crystal Run Healthcare Physicians LLP | 100 Crystal Run Rd, Middletown, NY 10941-4041 |
| Minu K Colaco | Physician Assistant | Crystal Run Healthcare Physicians LLP | 48 New Main St, Haverstraw, NY 10927-1812 |
| Kimberly Nicole Robinson | Psychiatry | Crystal Run Healthcare Physicians LLP | 155 Crystal Run Rd, Middletown, NY 10941-4028 |
| Peggy Nelson | Endocrinology | Crystal Run Healthcare Physicians LLP | 155 E 76th St, New York, NY 10021-2810 |
| Felix S Davelman | Urology | Crystal Run Healthcare Physicians LLP | 7 Hatfield Ln, Goshen, NY 10924-6757 |
| Deborah Sherman | Nurse Practitioner | Crystal Run Healthcare Physicians LLP | 807 State Route 17m, Monroe, NY 10950-2625 |
| Martin Barandes | Endocrinology | Crystal Run Healthcare Physicians LLP | 155 E 76 St, New York, NY 10021-2810 |
| Rafeel O Syed | Nephrology | Crystal Run Healthcare Physicians LLP | 155 Crystal Run Rd, Middletown, NY 10941-4028 |
| Street Address |
300 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip | 10941-4069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Danielle Bujalski | Nurse Practitioner | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Vinodhini M Subramanian | Internal Medicine | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Eduardo N Pinto | Internal Medicine | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Funsho Busari-alabi | Internal Medicine | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Archit Vipul Patel | Hand Surgery | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Khin N Hnin | Internal Medicine | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Niah L Vicente | Physical Therapy | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Stephen T Cestari | Obstetrics/gynecology | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Latoya Marieca Byfield | Nurse Practitioner | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Valerie A Gershenhorn | Dermatology | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4069 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Stoll Iii | Diagnostic Radiology | Upstate Radiology PC | 779 Route 211 E, Middletown, NY 10941-1459 |
| Mark Fenzl | Diagnostic Radiology | Upstate Radiology PC | 779 Route 211 E, Middletown, NY 10941-1459 |
| Kajal Saha | Neurosurgery | 701 Silver Lake Scotchtown Rd, Middletown, NY 10941-1539 | |
| Michael Lance Wodka | Podiatry | 30 Industrial Dr, Middletown, NY 10941-1662 | |
| Walter E Tonyes | Chiropractic | 633 Route 211 E, Middletown, NY 10941-1780 | |
| Bela A Gesztesi Iii | Physical Therapy | 633 Route 211 E, Suite 2, Middletown, NY 10941-1781 | |
| Joseph Norowitz | Optometry | 1 N Galleria Dr, Suite 126, Middletown, NY 10941-3028 | |
| Diana Rubin | Clinical Social Worker | 6 Country Side Ct, Middletown, NY 10941-3161 | |
| Stanley M Goldstein | Psychologist, Clinical | 1050 Route 211 E, Middletown, NY 10941-3726 | |
| Mahmoud Salem | Hospitalist | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4013 |
| Find all physicians in zip 10941 | |||
| City | MIDDLETOWN |
| Zip Code | 10941 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDDLETOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Thayer.
| 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.