Individual provider Active NPI

Lisa Deafenbaugh, P.A.

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1326157249
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110001702 Issued in VA
Practice address
1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003
Phone
(757) 481-4383
Fax
(757) 481-4611
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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 0110001702 VA Primary

Addresses

Primary practice location

1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003

Mailing address

1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003
Phone (757) 481-4383

Other identifiers 1

IdentifierTypeStateIssuer
P00109464OtherMEDICARE RAILROAD

Other names 1

  • Lisa French Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110601000024 VA Practitioner - Physician Assistant 4880871839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialists LTDGroup PAC ID 5496760522, 5 clinicians

Practice addresses (Care Compare)

1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003
Phone (757) 481-4383

300 Medical Pkwy
Suite 100
Chesapeake, VA 23320-4985
Phone (757) 547-7702

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Merit-based Incentive Payment System (MIPS)

Final score
54.92 of 100Reported as group
Quality
82.86
Improvement activities
0
Cost
72.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110001702VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1326157249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 SIR WILLIAM OSLER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543003",
            "telephone_number": "757-481-4383",
            "fax_number": "757-481-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 SIR WILLIAM OSLER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543003",
            "telephone_number": "757-481-4383",
            "fax_number": "757-481-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAFENBAUGH",
        "first_name": "LISA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00109464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FRENCH",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.