Lisa Diane Waitches, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

02002745A Issued in IN

Practice address

5454 Hohman Ave
Hammond, IN 46320-1931

Phone

(219) 933-2077

Fax

(219) 864-2649

NPI assigned

Aug 30, 2005

Last updated

Jul 20, 2011By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: lwaitches65654@direct.franciscanalliance.org

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.

• Franciscan St Margaret Health

  dba St Margaret Mercy ER Physcians

  • Emergency Medicine Physician
  • Dyer, IN
  • NPI 1184796088
  NPD (past)
• Franciscan St Margaret Health

  dba St Margaret Mercy ER Physicians

  • Emergency Medicine Physician
  • Hammond, IN
  • NPI 1730251638
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1831182369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110800",
            "telephone_number": "219-864-2107",
            "fax_number": "219-864-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-933-2077",
            "fax_number": "219-864-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITCHES",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02002745A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "90001358",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200486900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Vagelatos, NP-C
• Sara Velligan
• Vishnu N Mathur MDSC
• David Vogel II
• Rajender Vohra, P.T.
• Nicholas John Wakim II, DO
• Wal-Mart Stores East LP (Vision Center 30-4631)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2818)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4631)
• Wal-Mart Stores East, LP (Vision Center 30-2818)

• Emergency Medicine Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.