Dr. Lisa M. Ward, M.D.

Family Medicine in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1790768869

StatusActive

Last updated in NPPESJul 25, 2018

Details

NPI: 1790768869
Entity type: Individual (NPI-1)
Name: Dr. Lisa M. Ward
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Nov 22, 2005
Last updated: Jul 25, 2018

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	A080946	CA	Yes

Practice location

1110 N Dutton Ave
Santa Rosa, CA 95401-4606

Phone 707-303-3600

Mailing address

3569 Round Barn Cir
Suite 200
Santa Rosa, CA 95403-5781

Phone 707-303-3600 · Fax 707-303-3609

Other practice locations

3569 Round Barn Cir
Santa Rosa, CA 95403-5781

Phone 707-303-3600 · Fax 707-303-3069

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Santa Rosa, CA

All 298 Family Medicine Physician providers in Santa Rosa · All 8,142 providers in Santa Rosa

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