Lisa Aldrin Rojeski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

P-T0618 Issued in AR

Practice address

4038 N Remington Dr
Suite 4
Fayetteville, AR 72703-6345

Phone

(479) 444-6522

NPI assigned

Oct 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northwest Arkansas Id Specialists PA

  • Specialist
  • Fayetteville, AR
  • NPI 1699632687
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366524092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COVINGTON PARK BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727039302",
            "telephone_number": "479-521-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR",
            "address_2": "SUITE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036345",
            "telephone_number": "479-444-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJESKI",
        "first_name": "LISA",
        "middle_name": "ALDRIN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "P-T0618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joshua E Roller, MD
• Kristin R Roller, MD
• Tiffanie T Roller, OD

• All providers in Fayetteville, AR
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.