Jacob Liwosz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

630 E River St
Elyria, OH 44035-5902

Phone

(216) 396-4331

NPI assigned

Aug 28, 2024

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jliwosz289505@ehrdirect.uhhospitals.org

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.

• Allen Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Oberlin, OH
  • NPI 1841902814
  Medicare reassignment
• Lorain Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lorain, OH
  • NPI 1427760487
  Medicare reassignment
• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment
• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1518791920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "216-396-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "216-396-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIWOSZ",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bretzyl M Liscoe
• James Edward Lisi, M.D.
• Joseph M. Liszeski, D.M.D.
• Patrick P Litam, MD
• Liwanag Asuncion M.D., Inc
• Local Public Health Services Collaborative LLC
• Malinda Lochner, PT
• Alexis M Logsdon
• Sarah L Lohman, LISW
• Denise Lombardo, CNP

• Physician Assistant in Elyria, OH
• Providers in Elyria, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.