Active NPI
Lisa Suzanne Lewis, RPAC
- Medical Physician Assistant
- Amherst, NY
National Provider Identifier
1174511778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 006448
- Practice address
- 4949 Harlem Rd
University Orthopaedics
Amherst, NY 14226-2500 - Phone
- (716) 204-3251
- Fax
- (716) 891-2032
- NPI assigned
- Oct 10, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 006448 | NY | Primary |
Addresses
Primary practice location
4949 Harlem Rd
University Orthopaedics
Amherst, NY 14226-2500
Mailing address
12 Briarhill Rd
Williamsville, NY 14221-1807
Phone (716) 636-7909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01893672 | Medicaid | NY | |
| 006448 | Other | NY | LICENSE |
Other names 1
- Lisa Suzanne Van Landschoot
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006448 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Erie Comptrollers Office | Past | Accepting new patients |
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.
-
dba Erie County Department of Health
- Public Health or Welfare Agency
- Buffalo, NY
- NPI 1134210313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174511778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BRIARHILL RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211807",
"telephone_number": "716-636-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 HARLEM RD",
"address_2": "UNIVERSITY ORTHOPAEDICS",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262500",
"telephone_number": "716-204-3251",
"fax_number": "716-891-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LISA",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "RPAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "006448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01893672",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "006448",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "VAN LANDSCHOOT",
"middle_name": "SUZANNE",
"credential": "RPAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.