Individual provider Active NPI

Lisa Suzanne Lewis, RPAC

  • Medical Physician Assistant
  • Amherst, NY
National Provider Identifier
1174511778
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006448 Issued in NY
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01893672MedicaidNY
006448OtherNYLICENSE

Other names 1

  • Lisa Suzanne Van Landschoot Former name

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

LicenseStateTypeSpecialty
006448NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Erie Comptrollers Office PastSince Sep 20, 2022 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.

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.

Verify at the official NPI Registry.