Lisa M Sorrells, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME96808 Issued in FL

Practice address

206 2ND St E
Bradenton, FL 34208-1042

Phone

(941) 955-4101

Fax

(941) 358-9817

NPI assigned

Jun 7, 2006

Last updated

May 26, 2010By 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 2

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

Specialty

Diagnostic Radiology

Education

University of Oklahoma College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology and Imaging Specialists of LakelandGroup PAC ID 2264422294, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 33)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Radiology & Imaging Specialists of Lakeland

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1427049931
  Medicare reassignment Care Compare group NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Valrico, FL
  • NPI 1417423377
  Medicare reassignment
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1366067712
  NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
  • NPI 1376238642
  NPD
• Lakewood Ranch Imaging Center

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1104839737
  NPD (past)
• Radiology & Imaging Specialists of Lakeland, PA

  • Vascular & Interventional Radiology Physician
  • Lakeland, FL
  • NPI 1063032993

  Diagnostic Radiology

  NPD (past)
• Radiology & Imaging Specialists of Lakeland, PA

  • Diagnostic Radiology Physician
  • Kissimmee, FL
  • NPI 1124530761
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1710927827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 MARKET ST",
            "address_2": "BOX 502",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-955-4101",
            "fax_number": "941-358-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 2ND ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081042",
            "telephone_number": "941-955-4101",
            "fax_number": "941-358-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELLS",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "5860777-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME96808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6158",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276420200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonus-USA, Inc.
• Sonus-USA, Inc.
• Saska Fiona Sookra Winslow, M.D.
• Lauren Sorge
• Bethrina Soriano-Smith, CRNA
• Andrea Sorrentini, COTA
• Dominic Louis Sorrentino Jr., PA-C
• Justine Lee Soscia, APRN
• Sarah Catherine Soscia, NP
• Amanda Nicole Soto

• Diagnostic Radiology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.