LISA VAN DORP PA
NPI 1407227820
Physician Assistant - Surgical in Midland, MI

Active since October 12, 2015
4000 WELLNESS DR, MIDLAND, MI 48670(989) 839-3000 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Van Dorp Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA VAN DORP PA (NPI 1407227820) is an individual surgical provider in Midland, Michigan, licensed in Michigan (5601007489) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1407227820
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLISA VAN DORPCredential: PA
Location Address4000 WELLNESS DRMidland, MI 48670-2000
Mailing Address5802 S Heritage CtMidland, MI 48640-3128 · (586) 917-8237
Sole ProprietorNo
Enumeration DateOctober 12, 2015
Last NPPES UpdateNovember 6, 2019
NPI 1407227820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MI · 5601007489
4000 WELLNESS DR, Midland, MI 48670

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
4000 WELLNESS DR
MIDLAND, MI 48670
Physician Assistant
4000 WELLNESS DR
MIDLAND, MI 48670
Radiology (Radiation Oncology)
4000 WELLNESS DR
MIDLAND, MI 48670
Student in an Organized Health Care Education/Training Program
4000 WELLNESS DR
MIDLAND, MI 48670
Registered Nurse (Critical Care Medicine)
4000 WELLNESS DR
MIDLAND, MI 48670
Pediatrics
4000 WELLNESS DR
MIDLAND, MI 48670
Speech-Language Pathologist
4000 WELLNESS DR
MIDLAND, MI 48670
Family Medicine
4000 WELLNESS DR
MIDLAND, MI 48670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Van Dorp's NPI number?

The NPI number for Lisa Van Dorp is 1407227820. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Lisa Van Dorp located?

Lisa Van Dorp practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (989) 839-3000.

What is Lisa Van Dorp's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Lisa Van Dorp was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.