Lisa Waggoner Barker, M.D.

Primary specialty

Hospice and Palliative Medicine (Surgery) PhysicianTaxonomy code 2086H0002X

License

ME128980 Issued in FL

Practice address

2061 Collier Pkwy
Land O Lakes, FL 34639-5202

Phone

(727) 845-5707

Fax

(813) 501-8250

NPI assigned

Jan 27, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Mrs. Lisa Waggoner McCoy Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Gulfside Hospice, Inc.

  • Community Based Hospice Care Agency
  • Land O' Lakes, FL
  • NPI 1144328881

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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

• Gulfside Palliative Care, LLC

  • Case Manager/Care Coordinator
  • Zephyrhills, FL
  • NPI 1750531489
  Medicare reassignment NPD
• Gulfside Hospice, Inc.

  • Community Based Hospice Care Agency
  • Land O' Lakes, FL
  • NPI 1144328881

  Family Medicine

  NPD (past)
• Ashland Family Medicine

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1366527467
  NPD (past)
• Dr. Melissa Davis, P.S.C.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1972792034
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205807500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "727-845-5707",
            "fax_number": "813-501-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "727-845-5707",
            "fax_number": "813-501-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017847",
            "country_code": "US",
            "telephone_number": "606-325-9644",
            "fax_number": "606-329-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "LISA",
        "middle_name": "WAGGONER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30616",
            "primary": false
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME128980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000583695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000045747",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64306160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MCCOY",
            "middle_name": "WAGGONER",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Balthazar, APRN
• Krizia Arriola Banes, ITDS
• Kaelyn Barabas, LMHC
• Elizabeth Barbosa Agudelo
• Katherine Barfield-Craig, LCSW
• Shannon Barker, RDN
• Stephanie Anne Barnes, REGISTERED MHC INTER
• Naomi Gean Barragan
• Brecken Yvette Bates, RD, LD/N
• Anamecia Francisca Baxley

• Surgery Physician in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.