Lisa Marie Demidowich (NPI# 1235545278, PAC ID# 9739453960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1235545278 |
| PAC ID by PECOS | 9739453960 |
| Professional Enrollment ID | I20170926003506 |
| Full Name | Lisa Marie Demidowich |
| Organization Legal Name | RAGHAV LLC |
| Address |
12361 W Bola Dr Suite 109 Surprise AZ 85378-9021 |
| Phone Number | 6232271000 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2466709274 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030012 | YAVAPAI REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 6232271000 | RAGHAV LLC |
| Organization Legal Name | RAGHAV LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Paul Hennon | Internal Medicine | Raghav LLC | 2286 Crosswind Dr, Suite C, Prescott, AZ 86301-6100 |
| Sarah Grohmann | Nurse Practitioner | Raghav LLC | 2010 Injo Dr, Lake Havasu City, AZ 86403-5707 |
| Heather A Roshetko | Nurse Practitioner | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| John P Moran | Family Medicine | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Street Address |
12361 W BOLA DR SUITE 109 |
| City | SURPRISE |
| State | AZ |
| Zip | 85378-9021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Roshetko | Nurse Practitioner | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| John P Moran | Family Medicine | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Robert C Waldrip | Orthopedic Surgery | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 | |
| Annette H Tuszynski | Nurse Practitioner | Sun Pain Management Pllc | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 |
| Susan Tek | Audiologist | Northland Hearing Centers Inc | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Angel M Johnson | Nurse Practitioner | Arizona Primary Care Physicians LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Grusecki | Qualified Audiologist | 12691 W Smokey Dr, 131 Grusecki Audiology and Hearing Aid Services LLC, Surprise, AZ 85378-3703 | |
| Vijayabhanu Mahadevan | Rheumatology | Arthritis Consultants PC | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 |
| Rajbir Gulati | Rheumatology | Arthritis Consultants PC | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 |
| Shea K Campbell | Physical Therapy | Rise Orthopedic and Sports Physical Therapy LLC | 12691 W Smokey Dr, Suite 128, Surprise, AZ 85378-3800 |
| Mark A Jagodzinski | Physical Therapy | Rise Orthopedic and Sports Physical Therapy LLC | 12691 W Smokey Dr, Suite 128, Surprise, AZ 85378-3800 |
| Charles Clark Jr. | Chiropractic | Arrowhead Family Health Center PC | 17061 N Ave of The Arts, Suite 100, Surprise, AZ 85378-6996 |
| Jane M Abucha | Nurse Practitioner | 12851 W Bell Rd, Suite 126, Surprise, AZ 85378-9610 | |
| Jane Meier | Clinical Social Worker | Essential Energy Counseling and Consultation, Pllc | 12301 W Bell Rd, Surprise, AZ 85378-9707 |
| Sarah J Paikowsky | Optometry | 12801 W Bell Rd, Suite 139, Surprise, AZ 85378-9734 | |
| Roger N Grossbard | Optometry | 12801 W Bell Rd, Suite 139, Surprise, AZ 85378-9734 | |
| Find all physicians in zip 85378 | |||
| City | SURPRISE |
| Zip Code | 85378 |
| Specialty | PODIATRY |
| City + Specialty | SURPRISE + PODIATRY |
Please comment or provide details below to improve the information on Lisa Marie Demidowich.
| 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.