Individual provider Active NPI

Lisa Kay Lowery, M.D.

  • Orthopaedic Surgery Physician
  • Pickerington, OH
National Provider Identifier
1205807047
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35066309 Issued in OH
Practice address
10400 Blacklick Eastern Road
Suite 110
Pickerington, OH 43147-7702
Phone
(614) 729-6900
Fax
(614) 864-9209
NPI assigned
Jan 30, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35066309 OH Primary

Addresses

Primary practice location

10400 Blacklick Eastern Road
Suite 110
Pickerington, OH 43147-7702

Mailing address

10400 Blacklick Eastern Road
Suite 110
Pickerington, OH 43147-7702
Phone (614) 729-6900

Other identifiers 1

IdentifierTypeStateIssuer
0958914MedicaidOH

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
I20101014001148 OH Practitioner - Orthopedic Surgery 3072417559

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1205807047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 BLACKLICK EASTERN ROAD",
            "address_2": "SUITE 110",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477702",
            "telephone_number": "614-729-6900",
            "fax_number": "614-864-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 BLACKLICK EASTERN ROAD",
            "address_2": "SUITE 110",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477702",
            "telephone_number": "614-729-6900",
            "fax_number": "614-864-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "LISA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35066309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0958914",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.