Lisa Trevan, M.D.
Individual provider Active NPI Anesthesiology Physician · Williamsport, MD
NPI 1659313831 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1659313831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- D0044644 (MD)
- Practice address
- 10212 Governor Lane Blvd
Suite1004
Williamsport, MD 21795-4086 - Phone
- (301) 733-4200
- Fax
- (301) 223-7121
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Georgetown University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Northrium Health LLC
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000
1609 E Joppa Rd
Towson, MD 21286-2122
Phone (202) 221-8442
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031216000756 | MD | Practitioner - Anesthesiology | 5799682928 | Reassigns benefits to 11 organizations |
| I20060823000462 | DC | Practitioner - Anesthesiology |
5799682928 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD433370 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current |
Accepting new patients |
| Securus Anesthesia LLC | Anesthesiology | Current |
Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current |
Accepting new patients |
| Northrium Health LLC | Anesthesiology | Current |
Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Current |
Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current |
Accepting new patients |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Cumberland Anesthesia Ams LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Management Solutions LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Company, LLC | Anesthesiology | Current |
Accepting new patients |
| Blue Ridge Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
| Olney Endoscopy Center | Past |
Accepting new patients | |
| Elmwood Eye, P.C. | Past | Accepting new patients | |
| Privium Consultants LLC | Past |
Accepting new patients |
Locations (25 of 27)
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
1111 Beards Hill Rd
Ste 700
Aberdeen, MD 21001
Phone (240) 394-4365
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144
5530 Wisconsin Ave
Ste 1620
Chevy Chase, MD 20815
Phone (301) 717-9800
8222 Schultz Rd
Clinton, MD 20735
Phone (202) 600-5683
7801 Old Branch Ave
Ste 202
Clinton, MD 20735
Phone (202) 221-8442
10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110
12252 Williams Rd SE
Ste 103
Cumberland, MD 21502
Phone (240) 522-0185
12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1110 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-5559
11110 Medical Campus Rd
Ste 248
Hagerstown, MD 21742
Phone (240) 313-9800
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
220 Champion Dr
Hagerstown, MD 21740
Phone (310) 791-0888
1838 Greene Tree Rd
Ste 370
Pikesville, MD 21208
Phone (202) 221-8442
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
46 W Gude Dr
Rockville, MD 20850
Phone (240) 750-6170
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
2118 Greenspring Dr
Timonium, MD 21093
Phone (410) 252-5671
1609 E Joppa Rd
Towson, MD 21286
Phone (202) 221-8442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD433370 | PA | |
| Anesthesiology Physician | 207L00000X | D0044644 | MD | Yes |
Addresses
Primary practice location
10212 Governor Lane Blvd
Suite1004
Williamsport, MD 21795-4086
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50090037 | Other | PA | CAPITAL BC |
| S417 0002 | Other | DC | CAREFIRST BCBS |
| KBC1CH | Other | MD | CAREFIRST BCBS |
Other providers in Williamsport, MD
- Megan Nicole Shroyer
- Stephanie Renee Smith
- Stay Home Senior Services of Maryland, Inc.
- Danielle Nicole Taylor
- Viet T Tran
- Twin Oaks Operator LLC
- Stacy Ellen Vermillion
- Danielle Walters
- Cheree Ware
- Washington County Health Department
All providers in Williamsport, MD · Anesthesiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.