Individual provider Active NPI

Celeste Ellen Lisko, PA-C

  • Physician Assistant
  • Dublin, OH
National Provider Identifier
1396384053
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7450 Hospital Dr Ste 270
Dublin, OH 43016-9641
Phone
(614) 544-8483
NPI assigned
Dec 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 Primary

Addresses

Primary practice location

7450 Hospital Dr Ste 270
Dublin, OH 43016-9641

Mailing address

100 W College St
Granville, OH 43023-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clisko665776@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210804003427 OH Practitioner - Physician Assistant 4981008547 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 1, 2021 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

285 E State St
Ste 620
Columbus, OH 43215
Phone (614) 469-7621

Dept L3652
Columbus, OH 43260

3535 Olentangy River Rd
Fl 1
Columbus, OH 43214
Phone (614) 566-4378

7450 Hospital Dr
Ste 325
Dublin, OH 43016

7450 Hospital Dr
Ste 270
Dublin, OH 43016
Phone (614) 259-6779

Organizations & group practices 3

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": "1577577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1396384053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COLLEGE ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HOSPITAL DR STE 270",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169641",
            "telephone_number": "614-544-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKO",
        "first_name": "CELESTE",
        "middle_name": "ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-29",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clisko665776@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "7450 Hospital Dr",
            "address_2": "Ste 270",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.