Active NPI
Lisa Anne Mainier, PHD, D.O.
- Family Medicine Physician
- Erie, PA
National Provider Identifier
1457367336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS015423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 010543 | OH | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.