Active NPI
Lisa L Colton, MD
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1053493072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202790
- Practice address
- 220 Linden Oaks Suite 200
Panorama Pediatric Group RLLP
Rochester, NY 14625 - Phone
- (585) 381-4982
- Fax
- (585) 381-1821
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 202790 | NY | Primary |
Addresses
Primary practice location
220 Linden Oaks Suite 200
Panorama Pediatric Group RLLP
Rochester, NY 14625
Mailing address
220 Linden Oaks Suite 200
Panorama Pediatric Group RLLP
Rochester, NY 14625
Phone (585) 381-4982
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01662702 | Medicaid | NY | |
| 105883DL | Other | NY | PREFERRED CARE |
| 5126616 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202790 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panorama Pediatric Group, RLLP | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lcolton@panoramapeds.medentdirect.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 and National Provider Directory roles.
-
- Pediatrics Physician
- Rochester, NY
- NPI 1528146453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1053493072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LINDEN OAKS SUITE 200",
"address_2": "PANORAMA PEDIATRIC GROUP RLLP",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14625",
"telephone_number": "585-381-4982",
"fax_number": "585-381-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 LINDEN OAKS SUITE 200",
"address_2": "PANORAMA PEDIATRIC GROUP RLLP",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14625",
"telephone_number": "585-381-4982",
"fax_number": "585-381-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTON",
"first_name": "LISA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "202790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01662702",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "105883DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5126616",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.