Lisa C Palmer, D.O.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

63183 Issued in WI

Practice address

2060 Bellevue St
Green Bay, WI 54311-5622

Phone

(920) 965-0606

Fax

(920) 965-0607

NPI assigned

Mar 20, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in WI

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, Doctor of Medicine

State licenses

Practice roles

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.

• Hemophilia Outreach of Wisconsin, Inc.

  • Hematology (Internal Medicine) Physician
  • Green Bay, WI
  • NPI 1851390686
  Medicare reassignment
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1972628162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 BELLEVUE ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115622",
            "telephone_number": "920-965-0606",
            "fax_number": "920-965-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BELLEVUE ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115622",
            "telephone_number": "920-965-0606",
            "fax_number": "920-965-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WI",
            "license": "63183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008325",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Paiser, DC
• Brian E Palevac, DC
• Reynaldo V Palines, MD
• Palmer Counseling, LLC
• Jeffrey L Palmer, MSW
• David J Palubiak, MD
• David W. Paluch, RN, LPC
• Jennifer M. Palzewicz, PTA
• Pamela G Dobson DO
• Kimberly Ann Pampel, APSW

• Pediatric Hematology & Oncology Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Pediatric Hematology & Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.