Lisa M Judge M D P a

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

LISA M JUDGE M D P A

Practice address

552 Twin Cities Blvd
Suite C
Niceville, FL 32578-1055

Phone

(850) 729-1414

Fax

(850) 729-8700

NPI assigned

Jun 4, 2007

Last updated

Jun 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn Routhier

Title

Practice Manager

Phone

(850) 729-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16139/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Judge, M D

  • Obstetrics & Gynecology Physician
  • Niceville, FL
  • NPI 1932175973
  Medicare reassignment NPD

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1124220009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 TWIN CITIES BLVD",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781055",
            "telephone_number": "850-729-1414",
            "fax_number": "850-729-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 TWIN CITIES BLVD",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781055",
            "telephone_number": "850-729-1414",
            "fax_number": "850-729-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M JUDGE M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "ROUTHIER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-729-1414"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PTAN",
            "identifier": "DN7294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy M Letort, M.ED.
• Liberty Applied Behavior Analysis
• Lifeline Vascular Center Niceville LLC
• Lincare Inc.
• Chastity Lynn Lindberg, CBD
• Kimberly J Litwiller, CRNP
• Andrea Lloyd, ARNP, PMHNP-BC
• Gretchen Loffler
• Logos Communication Therapy Services, LLC (The Speech Pod)
• Anna Loicano, OT

• Gynecology Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.