Individual provider Active NPI

Lisa Anne Mainier, PHD, D.O.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1457367336
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015423 Issued in PA
Practice address
Salus Integrative Medicine, PC.
2545 West 26TH St.
Erie, PA 16506
Phone
(814) 923-4025
Fax
(814) 746-4684
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 010543 OH
Adult Medicine Physician 207QA0505X OS015423 PA
Family Medicine Physician 207Q00000X OS015423 PA Primary

Addresses

Primary practice location

Salus Integrative Medicine, PC.
2545 West 26TH St.
Erie, PA 16506

Mailing address

Salus Integrative Medicine, PC.
2545 West 26TH St.
Erie, PA 16506
Phone (814) 923-4025

Other names 1

  • Lisa Anne Michalski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
010543OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1457367336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SALUS INTEGRATIVE MEDICINE, PC.",
            "address_2": "2545 WEST 26TH ST.",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16506",
            "telephone_number": "814-923-4025",
            "fax_number": "814-746-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SALUS INTEGRATIVE MEDICINE, PC.",
            "address_2": "2545 WEST 26TH ST.",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16506",
            "telephone_number": "814-923-4025",
            "fax_number": "814-746-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINIER",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "PHD, D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "010543",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OS015423",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MICHALSKI",
            "middle_name": "ANNE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.