Lisa R Stanley (NPI# 1033155726, PAC ID# 9335293158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033155726 |
| PAC ID by PECOS | 9335293158 |
| Professional Enrollment ID | I20090813000350 |
| Full Name | Lisa R Stanley |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Address |
5001 Us Hwy 30 W D Fort Wayne IN 46818-9701 |
| Phone Number | 2604321568 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143295410 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150150 | DUPONT HOSPITAL LLC |
| 150047 | ST JOSEPH HOSPITAL |
| 150075 | BLUFFTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 | 2604321568 | SUMMIT RADIOLOGY PC |
| Organization Legal Name | SUMMIT RADIOLOGY PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahdy Messiha | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Edward Kwang Yi | Diagnostic Radiology | Summit Radiology PC | 141 Lanipo Dr, Kailua, HI 96734-3228 |
| Erik J Bekkers | Diagnostic Radiology | Summit Radiology PC | 209 Marmona Dr, Menlo Park, CA 94025-2953 |
| Marc A Thomas | Diagnostic Radiology | Summit Radiology PC | 9901 Trailwood Dr, Suite 1020, Las Vegas, NV 89134-6680 |
| Vivek Sharma | Diagnostic Radiology | Summit Radiology PC | 38 Overlook Rd, Alpine, NJ 07620-1066 |
| Andrew V Barger | Diagnostic Radiology | Summit Radiology PC | 724 Lisboa Ct, Walnut Creek, CA 94598-4430 |
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Hassan B Semaan | Diagnostic Radiology | Summit Radiology PC | 5409 County Rd, Suite 1, West Liberty, OH 43357-9531 |
| Andre B Stovall | Diagnostic Radiology | Summit Radiology PC | 916 Myrtle St, Sturgis, MI 49091-2326 |
| Jonathan A Staser | Diagnostic Radiology | Summit Radiology PC | 7950 W Jefferson Blvd, Lutheran Hospital of Fort Wayne, Fort Wayne, IN 46804-4140 |
| Street Address |
5001 US HWY 30 W D |
| City | FORT WAYNE |
| State | IN |
| Zip | 46818-9701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahdy Messiha | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Randall J Phillips | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Richard Sibley | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| John C Rock | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Glenn Stephen Coats | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| John Christopher Lacunza | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Amit N Sanghvi | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Richard P Stephens | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Jeremy D Gilliam | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Saad M Ibrahim | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb Parker Suciu | Chiropractic | 9206 Lima Rd, Fort Wayne, IN 46818-1806 | |
| Dan M Chaffee | Emergency Medicine | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | |
| Joseph D Fortin | Pain Management | 9502 Lima Rd, Suite 103, Fort Wayne, IN 46818-9517 | |
| Kimberly A Keys | Chiropractic | Keys Chiropractic, P. C. | 9536 Lima Rd, Fort Wayne, IN 46818-9517 |
| Kraig C Keys | Chiropractic | Keys Chiropractic, P. C. | 9536 Lima Rd, Fort Wayne, IN 46818-9517 |
| Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
| John L Bormann | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Daniel G Branam | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Indu Rekha Meesa | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Michael S Valade | Diagnostic Radiology | Summit Radiology PC | 5001 Us Hwy 30 W D, Fort Wayne, IN 46818-9701 |
| Find all physicians in zip 46818 | |||
| City | FORT WAYNE |
| Zip Code | 46818 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WAYNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa R Stanley.
| 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.