Lisa Ellen Pack, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD445513 Issued in PA

Practice address

35 Monument Rd Ste 201
York, PA 17403-5074

Phone

(717) 812-4083

Fax

(717) 812-4083

NPI assigned

Jul 24, 2008

Last updated

May 9, 2023By 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

Medicare fee-for-service enrollment

Enrolled in NC, MD, NY, DE4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Rutgers New Jersey Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians

Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

Valley Radiology P aGroup PAC ID 0749181089, 32 clinicians

Columbus Regional Healthcare SystemGroup PAC ID 2961312228, 120 clinicians

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Fear Valley-Bladen County Hospital Hospital, Elizabethtown, NC, CCN 341315
• Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
• Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
• Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008
• Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Columbus Regional Healthcare System

  dba South Columbus Medical Clinic

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743

  MD

  Medicare reassignment Care Compare group NPD
• Delaware Radiology Associates PA

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1740706175

  MD

  Medicare reassignment Care Compare group NPD
• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment Care Compare group NPD
• Valley Radiology P a

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1093723538

  MD

  Medicare reassignment Care Compare group NPD
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807
  Medicare reassignment
• Radiology Regional Center P a

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1407809262

  MD

  Medicare reassignment
• Brier Creek Imaging, LLC

  dba Cardinal Points Imaging of the Carolinas, Brier Creek

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1760610836

  Diagnostic Radiology

  NPD
• Columbus Regional Healthcare System

  dba Donayre Cancer Care Center Pharmacy

  • Specialty Pharmacy
  • Whiteville, NC
  • NPI 1275079451
  NPD
• Medical Imaging Center, LLC

  dba Valley Regional Imaging

  • Physiological Laboratory
  • Fayetteville, NC
  • NPI 1245474022
  NPD
• Pinnacle Health Services of North Carolina LLC

  dba Cardinal Points Imaging of the Carolinas, Midtown

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1457300089

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  dba Cardinal Points Imaging of the Carolinas

  • Radiology Clinic/Center
  • Cary, NC
  • NPI 1346996485

  Diagnostic Radiology

  NPD

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

• Bladen Healthcare LLC

  dba Cape Fear Valley Bladen County Hospital

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Care Compare affiliation
• Columbus Regional Healthcare System

  dba South Columbus Medical Clinic

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Care Compare affiliation
• Harnett Health System, Inc.

  dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital

  • General Acute Care Hospital
  • Dunn, NC
  • NPI 1922144757
  Care Compare affiliation
• Hoke Healthcare LLC

  dba Cape Fear Valley Hoke Hospital

  • General Acute Care Hospital
  • Raeford, NC
  • NPI 1750788238
  Care Compare affiliation
• Scotland Memorial Hospital Inc

  • General Acute Care Hospital
  • Laurinburg, NC
  • NPI 1457345597
  Care Compare affiliation

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1346405867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONUMENT RD STE 201",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035074",
            "telephone_number": "717-812-4083",
            "fax_number": "717-812-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 VILLAGE DR",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "country_code": "US",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACK",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD445513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Emergency Physicians PLLC
• PA Livingspace, LLC
• PA Wellness Care Inc
• Pac Center of Healing and Wellness, LLC (Uplifted Counseling)
• Peter Pace, M.D.
• Niranjani Jyotibasu Padayachi, MD, MPH
• Shetal H. Padia, MD
• Smitesh Padte, MBBS
• Nina Paglianite, CRNP
• Pain Medicine of York, LLC (All Better Wellness Center)

• Diagnostic Radiology Physician in York, PA
• Providers in York, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.