Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Hyde, PA-C

Individual provider Physician Assistant · NPI 1558602888

Lisa Marie Hyde, PA-C is a Physician Assistant in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

655 Kenmoor Ave SE Ste 201
Grand Rapids, MI 49546-8604
Phone: (616) 920-0825
Fax: (616) 920-0830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 — (616) 685-6200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006602 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1558602888
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2013
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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