Lisa Michelle Tyra Soranno, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5101015275 Issued in MI

Practice address

18181 Oakwood Blvd
Dearborn, MI 48124-5032

Phone

(313) 982-5159

Fax

(313) 982-5115

NPI assigned

Mar 18, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Michigan State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Anesthesia Associates PCGroup PAC ID 5294623336, 20 clinicians

Providence Park Anesthesia Associates, PCGroup PAC ID 7315009479, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lsoranno1152023@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Park Anesthesia Associates, PC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1942459672
  Medicare reassignment Care Compare group NPD
• Northland Anesthesia Associates, PC

  • Anesthesiology Physician
  • Southfield, MI
  • NPI 1528001880
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013031905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23635 STERLING PL",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241632",
            "telephone_number": "313-617-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-982-5159",
            "fax_number": "313-982-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORANNO",
        "first_name": "LISA",
        "middle_name": "MICHELLE TYRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101015275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisseda S Solomon, MD
• Soma Infant & Maternal Care Inc
• Tiffany Somerville
• Hi Chul Song, MD
• Barbara A Soper, CRNA
• Alex Gene Sorenson
• Jonathan Robert Sorini, D.O.
• Kathryn Elise Sorini, AGACNP-BC
• Hoda Souhouba
• Zahra Soukar-Kadour

• Anesthesiology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.