Lisette Anne D'Eon, MD
Individual provider Active NPI Internal Medicine Physician · Springville, NY
NPI 1437115482 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1437115482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 185096 (NY)
- Practice address
- 224 E Main St
Bertrand Chaffee Hospital Primary Care Clinic
Springville, NY 14141-1443 - Phone
- (716) 592-8140
- Fax
- (716) 961-3713
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Drive Medical Group LLP | Internal Medicine | Past |
Accepting new patients |
| Academic Medicine Services, Inc. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.medent.com/fhir/R4/3P171181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 185096 | NY | Yes |
Addresses
Primary practice location
224 E Main St
Bertrand Chaffee Hospital Primary Care Clinic
Springville, NY 14141-1443
Mailing address
50 Getzville Rd
Apt. C
Amherst, NY 14226-3516
Phone (716) 832-5901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01345179 | Medicaid | NY |
Other providers in Springville, NY
- Nicholas Lloyd Cromwell
- Liana Fiorella Cummiskey
- Jennifer Lynn Cuneo
- Cara Rae Czechowski
- Maria E. Czechowski
- Kenneth Dean Richard Dabolt
- Priscilla K Dale
- Dalip K. Khurana, M.D., PLLC
- Tammy Lyn Davis
- Mikelle Demmerley
All providers in Springville, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.