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LISA ANN PULLUM DO NPI 1063476604


NPI Information

NPI: 1063476604
Provider Name: LISA ANN PULLUM, DO
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
6896 S GREENVILLE RD STE 100
GREENVILLE, MI
ZIP 48838
Phone: (616) 754-5036
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Lisa Ann Pullum, DO is an interventional pain medicine pain medicine in Greenville, MI with 34 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Lisa Ann Pullum, DO NPI is 1063476604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1990

The provider's business location address is:

6896 S GREENVILLE RD STE 100
GREENVILLE, MI
ZIP 48838-081
Phone: (616) 754-5036
Fax: (616) 754-4380

The NPI 1063476604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)
  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
  • Testing for presence of drug (HCPCS:80307)

The enumeration date for this NPI number is 4/12/2006 and was last updated on 5/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine5101013172MICHIGANNo
2208VP0014XPain MedicineInterventional Pain Medicine5101013172MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130230OTHERHEALTH PLAN OF MICHIGAN
27000027121OTHERMICHIGANPRIORITY HEALTH
3555590041OTHERMICHIGANBCBSM
44802689-11MEDICAIDMICHIGAN
53743669OTHERCIGNA
6050067089OTHERRAILROAD MEDICARE
77000027121OTHERPRIORITY HEALTH MEDICAID
87681459OTHERAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.