Lisa Haworth MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9035 Issued in NV

Legal business name

LISA HAWORTH MD PC

Doing business as

Lisa Haworth MD

Practice address

2482 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-2728

Phone

(702) 719-6003

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Haworth, MDNPI 1346225976

Title

President

Phone

(702) 719-6003

Specialties & licenses 1

Addresses

Other names 1

• Lisa Haworth MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Haworth, MD

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1346225976
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1104942598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522728",
            "telephone_number": "702-719-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522728",
            "telephone_number": "702-719-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA HAWORTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "HAWORTH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-719-6003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Haworth MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Jonathan Lipman, M.D.
• Evan Lipman, DMD
• Lori Hoffman Lipman, M.A., CCC/SLP
• Joseph Lippman, DPT
• Johnna Lipskey
• Joshua Paul Lisonbee, DPM
• William Reid Litchfield, M. D.
• Little Angels Youth Services
• Little Angels Youth Services LLC
• Little Angels Youth Services LLC

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.