Lisa Marie Petursson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E2871 Issued in AR

Practice address

4300 West 7TH
Central Arkansas Veterans Healthcare System
Little Rock, AR 72205

Phone

(501) 257-5050

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBFIAA
• FHIR API: https://api.platform.athenahealth.com/11195/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children and Adults Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Nashville, TN
  • NPI 1659487494
  NPD (past)
• Largo Foot & Ankle Health Center and Ambulatory Surgical Center,Inc'

  dba Ade adetunji

  • Foot & Ankle Surgery Podiatrist
  • Upper Marlboro, MD
  • NPI 1962596031
  NPD (past)
• St. Thomas Medical Group PLLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1467472258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093804718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WEST 7TH",
            "address_2": "CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-257-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEST 7TH",
            "address_2": "CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-257-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETURSSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan McCrary Pettigrew, PHD RN
• Meghan Faith Pettis, PT
• Isis Jaijadea Pettway
• Julie Lepine Petty, PHARMD
• Gissur Petursson, MD
• Elizabeth A Petz, LCSW
• Joe B Pevahouse, M.D.
• John Ellis Peyton
• Amir Hossein Pezeshkmehr, M.D.
• James C. Pfeiffer, LPC, CEAP, SAP

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.