Lisa D Weiler, LSA; CSFA; LVN

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

14600 County Line Rd
Willis, TX 77378-4044

Phone

(936) 856-3598

Fax

(936) 856-3598

NPI assigned

Oct 1, 2010

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lisa D Koller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Orthopedic Surgical Assisting LLC

  • Surgical Technologist
  • Willis, TX
  • NPI 1982981239
  NPD Authorized official

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1184933616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 COUNTY LINE RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773784044",
            "telephone_number": "936-203-1100",
            "fax_number": "936-856-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 COUNTY LINE RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773784044",
            "telephone_number": "936-856-3598",
            "fax_number": "936-856-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILER",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "LSA; CSFA; LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA",
            "identifier": "203311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN",
            "identifier": "188120",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSA",
            "identifier": "SA00913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KOLLER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elisa Michelle Walsh
• Kaiwei Wang, DMD
• Ann Elizabeth Webb, PH.D., LCSW-S
• Wecare Pharmacy Corp. (Willis Pharmacy)
• Karen Weeks, LPC
• Marcus Melton Wheeler, M.D.
• Kathleen Williams
• Willis Family Dental Care PLLC
• Willis Isd
• Willis Nursing and Rehabilitation LP

• Surgical Physician Assistant in Willis, TX
• Providers in Willis, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.