Lisa A Malys, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34011290 Issued in OH

Practice address

3477 Commerce Pkwy
Suite a
Wooster, OH 44691-7126

Phone

(330) 601-0999

Fax

(330) 601-0935

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buckeye Family Healthcare LLCGroup PAC ID 5890140032, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Services Wooster Community Hospital Home health agency, Wooster, OH, CCN 367624
• Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• OH PPO
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• KY PPO
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• KY PPO C-SNP

Interoperability endpoints

• Direct secure messaging: lisa.malys@42346140532740.direct.elationemr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

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.

• Buckeye Family Healthcare LLC

  • Family Medicine Physician
  • Wooster, OH
  • NPI 1790473601
  Medicare reassignment Care Compare group NPD

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

• City of Wooster

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247
  Care Compare affiliation
• City of Wooster

  • Home Health Agency
  • Wooster, OH
  • NPI 1467472886
  Care Compare affiliation
• Orrville Hospital Foundation

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1013172121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PKWY",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917126",
            "telephone_number": "330-601-0999",
            "fax_number": "330-601-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PKWY",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917126",
            "telephone_number": "330-601-0999",
            "fax_number": "330-601-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYS",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014900",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS014900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen John Malich, MS
• Bilal Malik, MD
• Leann Frances Mallernee, MSW, LISW-S
• Theresa Kimberley Malmon-Berg, M.S.N., C.N.P.
• Desiree Charlotte Malson
• Lisa J Mangiardi
• Fatimah Renee Manjaroe
• Stephen F Mankins, PT, DPT
• D. Nicole Mann, M.A.ED.
• Devonte Marable, BA, TBS WORKER

• Family Medicine Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.