Individual provider Active NPI

Lisa Scholl, PA

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1366470486
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0107211 Issued in NY
Practice address
1050 Niagara St
Buffalo, NY 14213-2001
Phone
(716) 228-9965
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 0107211 NY Primary

Addresses

Primary practice location

1050 Niagara St
Buffalo, NY 14213-2001

Mailing address

1050 Niagara St
Buffalo, NY 14213-2001
Phone (716) 493-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051019000715 NY Practitioner - Physician Assistant 6507882511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Lawn Ave
Buffalo, NY 14207-1816
Phone (716) 875-2904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0107211NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center of Wny, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Sep 18, 2017 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Jul 25, 2022 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients

Locations

1569 Niagara St
Buffalo, NY 14213
Phone (716) 427-7000

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

300 Niagara St
Buffalo, NY 14201
Phone (716) 242-8600

4233 Lake Ave
Buffalo, NY 14219
Phone (716) 332-3070

155 Lawn Ave
Buffalo, NY 14207
Phone (716) 875-2904

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

151 Elmview Ave
Hamburg, NY 14075
Phone (716) 648-3040

Interoperability endpoints

  • Direct secure messaging: lisa.scholl.1@26491.direct.athenahealth.com

Organizations & group practices 7

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1366470486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-493-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-228-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "LISA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0107211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.