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LISA ANN MANSUETO M.D., NPI 1396742797

Ophthalmology in TEMPE, AZ

Last Updated on : May 09,2016

LISA ANN MANSUETO M.D., NPI 1396742797

About LISA ANN MANSUETO (NPI 1396742797)


LISA ANN MANSUETO is an Ophthalmology provider in TEMPE, United States. Her medical specialization is Ophthalmology with a focus in Ophthalmic Plastic and Reconstructive Surgery.

1396742797 is NPI number of LISA ANN MANSUETO.

LISA ANN MANSUETO's primary taxonomy code based on NPI Lookup is 207WX0200X with license number 23840. This taxonomy code refers to Ophthalmology.

LISA ANN MANSUETO has more than 16 years of experience.

LISA ANN MANSUETO current practice location address is 3200 S COUNTRY CLUB WAY, TEMPE, AZ. LISA ANN MANSUETO can be reached out via phone at 480-839-0206 and via fax at 480-831-6735 .

You can also correspond with LISA ANN MANSUETO through mail at mailing address 3200 S COUNTRY CLUB WAY, TEMPE, AZ, United States. Mailing address contact number is 480-839-0206.

The enumeration date of LISA ANN MANSUETO is 30-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.

1396742797 NPI Information

Basic NPI information of LISA ANN MANSUETO (NPI 1396742797) is provided below.

Name LISA ANN MANSUETO
National Provider Id (NPI) 1396742797
Entity Type Individual
Gender F
Credential M.D.
Practice Address 3200 S COUNTRY CLUB WAY,
TEMPE, AZ, United States
Practice Telephone 480-839-0206
Practice Fax Number 480-831-6735
Mailing Address 3200 S COUNTRY CLUB WAY ,
TEMPE, AZ, United States
Mailing Telephone 480-839-0206
Mailing Fax Number 480-831-6735
Enumeration Date 30-Jun-2005
Last Updated Date 09-May-2016

LISA ANN MANSUETO (NPI 1396742797) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 23840 AZ

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

LISA ANN MANSUETO (NPI 1396742797) Secondary Taxonomy Information

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.

Primary Taxonomy Code Clasification License Number License State
N 207W00000X Ophthalmology 23840 AZ

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
26854 MEDICARE ID-Type Unspecified (04)
3743063 Other (non-Medicare) (01) AZ CIGNA
455354 MEDICAID (05) AZ
G71995 MEDICARE UPIN (02)

LISA ANN MANSUETO (NPI 1396742797) Office Location

Office location of LISA ANN MANSUETO is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1366509408 CHRISTINE LYNN PFLEIGER Speech-Language Pathologist, PO BOX 11595,
TEMPE, AZ, United States
01-Jan-2007
1316004476 LAURA LEE RODEN Social Worker, Clinical 2600 E SOUTHERN AVE STE F1,
TEMPE, AZ, United States
01-Jan-2007
1619024643 RUSSELL THOMAS TIPTON Dentist 2084 E SOUTHERN AVE, G101
TEMPE, AZ, United States
04-Jan-2007
1942367891 SUSAN ANN FALSONE Physical Therapist, Sports 2414 N 38TH ST,
PHOENIX, AZ, United States
02-Jan-2007
1801953484 MARK I BRACHFELD Specialist 2034 E SOUTHERN AVE, SUITE Y
TEMPE, AZ, United States
02-Jan-2007
1659601326 DAUGHTERS OF THUNDER LLC Case Management PO BOX 23714, 4609 S MILL
TEMPE, AZ, United States
02-Jan-2010
1497091979 TALIA A TOON Social Worker 2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ, United States
02-Jan-2013
1013338482 RICARDO REYES Case Manager/Care Coordinator 1208 E BROADWAY RD STE 215,
TEMPE, AZ, United States
02-Jan-2014
1801217286 JENA AEBI Speech-Language Pathologist, 1905 E MINTON DR,
TEMPE, AZ, United States
02-Jan-2014
1871000612 ALICE RIDGWAY Behavior Technician 300 N 18TH ST,
PHOENIX, AZ, United States
02-Jan-2018
1245747088 BRITTANY HILL Behavior Analyst 656 W BLUE RIDGE DR,
SAN TAN VALLEY, AZ, United States
02-Jan-2018
1801875802 LARRY ALLEN MATJE Counselor, Professional 4700 S MILL AVE, STE 4
TEMPE, AZ, United States
10-Jan-2006
1316925100 MARK CHRISTOPHER FLEMING Psychologist, Counseling PO BOX 6358,
CHANDLER, AZ, United States
03-Jan-2006
1689731804 CHERYL KAY BEARD Counselor, Mental Health 93 E BUENA VISTA DR,
TEMPE, AZ, United States
03-Jan-2007
1104973288 EMPACT-SPC Community/Behavioral Health 1232 E BROADWAY RD,
TEMPE, AZ, United States
04-Jan-2007
1902953177 PILAR VARGAS-BRYA Counselor, Mental Health 1232 E BROADWAY RD, SUITE 120
TEMPE, AZ, United States
03-Jan-2007
1457408627 ALLAN KENNETH BERNSTEIN Dentist, General Practice 2034 E SOUTHERN AVE, SUITE H
TEMPE, AZ, United States
03-Jan-2007
1013247790 BREDA DERVISEVIC Pharmacist 9900 S RURAL RD,
TEMPE, AZ, United States
03-Jan-2010
1366746505 MICHAEL STEVEN SCHUK Physical Therapist 1025 E BROADWAY RD, SUITE 101
TEMPE, AZ, United States
03-Jan-2011
1538439914 DESPINA HARDY Specialist, Research Study 510 E CONCORDA DR,
TEMPE, AZ, United States
03-Jan-2012

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1396742797?

1396742797 is the NPI number of LISA ANN MANSUETO.

What is the specialty for LISA ANN MANSUETO?

The Specialty of LISA ANN MANSUETO is Ophthalmology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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