Individual provider Active NPI

Lisa Lee Beck, PA-C

  • Physician Assistant
  • Asheboro, NC
National Provider Identifier
1285055228
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04643 Issued in NC
Practice address
700 Sunset Ave
Asheboro, NC 27203-5304
Phone
(336) 625-0305
Fax
(336) 625-9941
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04643 NC Primary

Addresses

Primary practice location

700 Sunset Ave
Asheboro, NC 27203-5304

Mailing address

PO Box 5418
Asheboro, NC 27204-5418
Phone (336) 625-2333

Other identifiers 1

IdentifierTypeStateIssuer
0010-04643OtherNCNORTH CAROLINA MEDICAL BOARD

Other names 1

  • Lisa Lee Snegosky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180410000060 MD Practitioner - Physician Assistant 4789814419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients

Locations

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1285055228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5418",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272045418",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035304",
            "telephone_number": "336-625-0305",
            "fax_number": "336-625-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "LISA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "0010-04643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SNEGOSKY",
            "middle_name": "LEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.