Individual provider Active NPI

Lisa Brown

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1336380344
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003903 Issued in MD
Practice address
900 Caton Ave
Baltimore, MD 21229-5201
Phone
(410) 368-2000
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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 C0003903 MD Primary

Addresses

Primary practice location

900 Caton Ave
Baltimore, MD 21229-5201

Mailing address

217 E Lafayette Ave
Baltimore, MD 21202-6227
Phone (240) 601-0691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090406000627 MD Practitioner - Physician Assistant 8729135801 Reassigns benefits to 3 organizations
I20131205000015 DC Practitioner - Physician Assistant 8729135801 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003903MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Emerg Phys CurrentSince Mar 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince May 21, 2018 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 2, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 21, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2015 Accepting new patients
WHC Physician Group LLC CurrentSince Mar 1, 2020 Accepting new patients
Washington Hospital Center Corp CurrentSince Feb 1, 2019 Accepting new patients
Anacostia River Emergency Physicians LLC Past Accepting new patients
University of Maryland Charles Regional Urgent Care, LLC Past Accepting new patients
Maryland Provo-I Medical Services, PC Physician Assistant Past Accepting new patients
Caton Emergency Physicians Physician Assistant Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

500 Charles St
La Plata, MD 20646
Phone (301) 609-4699

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1336380344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E LAFAYETTE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026227",
            "telephone_number": "240-601-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.