Lisa Rene Gnas, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101013946 Issued in MI

Practice address

5820 N Canton Center Rd Ste 181
Canton, MI 48187-2651

Phone

(877) 882-4800

NPI assigned

Jun 6, 2008

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 1

Medicare fee-for-service enrollment

Enrolled in MI

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 Osteopathy

State licenses

Practice roles

Locations

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.

• VPS of Mi PLLC

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1164873691
  Medicare reassignment NPD
• Adrian Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1144611633
  NPD (past)
• Medical Services Group PLC

  • Pain Medicine Physician
  • Detroit, MI
  • NPI 1538829288
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1437318243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 181",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872651",
            "telephone_number": "877-882-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N CANTON CENTER RD STE 181",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872651",
            "telephone_number": "877-882-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNAS",
        "first_name": "LISA",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013946",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101013946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSING AND REGULATORY AFFAIRS",
            "identifier": "5101013946",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianna Gladden
• Renee S Glass, LMSW
• Kesha Glimps
• James E. Glinski, D.D.S.
• Amanda Joyce Glover
• Lily Go, MD
• Linda G Goble
• Sheryl Joanne Gold, RN
• Dawn Nichol Goldberg
• Kayla Goleniak

• General Practice Physician in Canton, MI
• Providers in Canton, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.