Organization Active NPI

Lisa R Hearing MD PA

  • Specialist
  • Jupiter, FL
National Provider Identifier
1053571356
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME65733 Issued in FL
Legal business name
LISA R HEARING MD PA
Practice address
3893 Military TRL
1
Jupiter, FL 33458-2936
Phone
(561) 744-8319
Fax
(561) 744-6607
NPI assigned
Jun 11, 2008
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Lisa R Hearing, MDNPI 1396770343
Title
Physician/President
Phone
(561) 744-8319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME65733 FL Primary

Addresses

Primary practice location

3893 Military TRL
1
Jupiter, FL 33458-2936

Mailing address

3893 Military TRL
1
Jupiter, FL 33458-2936
Phone (561) 744-8319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000051 FL Part B Supplier - Clinic/Group Practice 5890953467 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

3893 Military Trl
Ste 1
Jupiter, FL 33458
Phone (561) 559-0955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1053571356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 MILITARY TRL",
            "address_2": "1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582936",
            "telephone_number": "561-744-8319",
            "fax_number": "561-744-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 MILITARY TRL",
            "address_2": "1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582936",
            "telephone_number": "561-744-8319",
            "fax_number": "561-744-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA R HEARING MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "HEARING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "561-744-8319",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME65733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.