Lisa Tracy Wollman, MD

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

License

77484 Issued in MA

Practice address

690 Canton St Ste 240
Westwood, MA 02090-2326

Phone

(339) 204-9516

Fax

(781) 459-4698

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Anesthesiology

Education

Albert Einstein College of Medicine of Yeshiva University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Physicians of Harvard Medical Faculty Physicians at Beth IsGroup PAC ID 6305749987, shared by 7 NPIs, 566 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New England Baptist Hospital Hospital, Boston, MA, CCN 220088

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lwollman251917@direct.bilh.masshiway.net

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.

• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Radiology

  • Diagnostic Radiology Physician
  • Milton, MA
  • NPI 1245773308
  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Emergency Medicine

  • Emergency Medical Services (Emergency Medicine) Physician
  • Boston, MA
  • NPI 1952358533
  Medicare reassignment NPD
• Excel Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Dedham, MA
  • NPI 1639878713
  Medicare reassignment NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438
  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Anesthesia

  • Anesthesiology Physician
  • Plymouth, MA
  • NPI 1568859643

  Critical Care Medicine

  NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba Associated Physicians of HMFP

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba Emergency Medicine - HMFP at BIDMC

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1316987993
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New England Baptist Hospital

  • General Acute Care Hospital
  • Roxbury Crossing, MA
  • NPI 1699767491
  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1578544748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902326",
            "telephone_number": "339-204-9516",
            "fax_number": "781-459-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902326",
            "telephone_number": "339-204-9516",
            "fax_number": "781-459-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMAN",
        "first_name": "LISA",
        "middle_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MA",
            "license": "77484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108759",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J13877",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "739827",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Beth Wittlin
• Kamillus Wohlfeld, MD
• Ruth Wohlfeld, MD
• Adam Jason Wolf
• Alexander G Wolf, MD
• Shihchung Albert Woo, M.D.
• Christine S Wood, NP
• Deborah Kay Wood, M.ED.
• Lawrence L Worth, C.R.N.A.
• Svetla Kurteva Yordanov, M.D.

• Critical Care Medicine (Anesthesiology) Physician in Westwood, MA
• Providers in Westwood, MA by specialty
• Critical Care Medicine (Anesthesiology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
• 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.