Lisa R Anthony MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME85235 Issued in FL

Legal business name

LISA R ANTHONY MD PA

Practice address

13832 US Highway 1
Sebastian, FL 32958-3296

Phone

(772) 581-0307

Fax

(772) 581-0702

NPI assigned

Jun 5, 2007

Last updated

Jan 22, 2008By 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

Lisa R Anthony, MDNPI 1659346773

Title

Office Manager

Phone

(772) 581-0307

Specialties & licenses 1

Addresses

Locations

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 R Anthony, MD

  • Internal Medicine Physician
  • Oshkosh, WI
  • NPI 1659346773
  NPD (past) Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1417159930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13832 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-581-0307",
            "fax_number": "772-581-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13832 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-581-0307",
            "fax_number": "772-581-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA R ANTHONY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-581-0307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surq)
• Clara Lee
• Danielle Lee
• Monica Leppma
• Charles Howard Lind, RPH.
• Diana Lynn Littleton, RPH
• Robert Littleton, RPH
• Carol L Livelli, ARNP
• Jennifer Loar, OD
• Tania Lopez, D.O.

• Internal Medicine Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.