Individual provider Active NPI

Lisa Michelle Ducker, DO

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1023125069
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007424L Issued in PA
Practice address
930 Town Center Dr
Suite G 10
Langhorne, PA 19047-3503
Phone
(215) 750-8373
Fax
(215) 750-0455
NPI assigned
Aug 24, 2006
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007424L PA Primary

Addresses

Primary practice location

930 Town Center Dr
Suite G 10
Langhorne, PA 19047-3503

Mailing address

930 Town Center Dr
Suite G 10
Langhorne, PA 19047-3503
Phone (215) 750-8373

Other identifiers 4

IdentifierTypeStateIssuer
2081180001OtherPAKEYSTONE
047374OtherPAAETNA
1382447OtherPAPERSONAL CHOICE
1142609OtherPAUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20050815000081 PA Practitioner - Family Practice 5496785016 Practice locations: Langhorne, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

370 Middletown Blvd
Suite 508
Langhorne, PA 19047-1840
Phone (215) 750-8373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS007424LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M. Ducker DO Family Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

1262 Wood Ln
Ste 205
Langhorne, PA 19047
Phone (215) 750-3332

930 Town Center Dr
Ste G10
Langhorne, PA 19047
Phone (215) 750-3332

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lducker@lmdd-pa.direct.office.nextgen.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1023125069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 TOWN CENTER DR",
            "address_2": "SUITE G 10",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473503",
            "telephone_number": "215-750-8373",
            "fax_number": "215-750-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 TOWN CENTER DR",
            "address_2": "SUITE G 10",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473503",
            "telephone_number": "215-750-8373",
            "fax_number": "215-750-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKER",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007424L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2081180001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "047374",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "1382447",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1142609",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.