Individual provider Active NPI

Lisa Marie Sayoc, MD

  • Dermatology Physician
  • Canton, OH
National Provider Identifier
1124095682
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
350755495 Issued in OH
Practice address
4565 Dressler NWRD LL3
Canton, OH 44718-2579
Phone
(330) 491-4700
Fax
(330) 497-0667
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 350755495 OH Primary

Addresses

Primary practice location

4565 Dressler NWRD LL3
Canton, OH 44718-2579

Mailing address

4565 Dressler NWRD LL3
Canton, OH 44718-2579
Phone (330) 491-4700

Other identifiers 1

IdentifierTypeStateIssuer
2247232MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050318000788 OH Practitioner - Dermatology 8729033089 Practice locations: Canton, OH

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350755495OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Internal Medicine, LLC Past Accepting new patients
Center for Surgical Dermatology Inc Dermatology PastSince Mar 28, 2025 Accepting new patients
Dermatology Associates of Canton, LLC Dermatology PastSince Oct 24, 2013 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1124095682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 DRESSLER NWRD LL3",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182579",
            "telephone_number": "330-491-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 DRESSLER NWRD LL3",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182579",
            "telephone_number": "330-491-4700",
            "fax_number": "330-497-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYOC",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "350755495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2247232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.