Lisa Marie Ghavam is a Huntsville, Alabama based nurse anesthetist with 33 years of experience as Anesthesia Administration. She completed she graduation in 1992. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Marie Ghavam is 1-067541 for Anesthesia Administration in Alabama. Her current practice location is 911 Big Cove Rd Se, Huntsville. Patients can reach her at 256-265-8120 or can fax her at 256-265-8969. Lisa Marie Ghavam is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1285666172. Lisa Marie Ghavam is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Lisa Marie Ghavam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
33+ years
Medical School Attended:
Other
Graduation Year:
1992
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
911 Big Cove Rd Se, Huntsville, Alabama, 35801-3750
Phone:
256-265-8120
Fax:
256-265-8969
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789621178
Enrollment ID:
I20050418000248
NPI Number:
1285666172
NPI Enumeration Date:
07 Jul, 2006
NPI Last Update On:
16 Jan, 2013
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Marie Ghavam are as mentioned below.
License Number
Specialization
State
Status
1-067541
Anesthesia Administration
Alabama
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Crestwood Medical Center (010131)
Huntsville, AL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lisa Marie Ghavam has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Physynergy Llc (6204081292)
55
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Marie Ghavam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
051526398
Medicaid
Alabama
515-26398
Other
Alabama
BC BS OF ALABAMA
P00626147
Other
Alabama
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1389, Huntsville, Alabama
Zip:
35807-0389
Phone Number:
256-265-8120
Fax Number:
256-265-8969
Patients can reach Lisa Marie Ghavam at 911 Big Cove Rd Se, Huntsville, Alabama or can call to book an appointment on 256-265-8120.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.