Active NPI
Lisa Marie Raiber, DO
- Hospitalist Physician
- Meadville, PA
National Provider Identifier
1528244456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS014551
- Practice address
- 1034 Grove St
Meadville, PA 16335-2945 - Phone
- (814) 333-7016
- Fax
- (814) 333-1757
- NPI assigned
- Jan 10, 2008
- Last updated
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT011268 | PA | |
| Internal Medicine Physician | 207R00000X | OS014551 | PA | |
| Hospitalist Physician | 208M00000X | OS014551 | PA | Primary |
Addresses
Primary practice location
1034 Grove St
Meadville, PA 16335-2945
Mailing address
751 Liberty St
Meadville Hospitalist Services
Meadville, PA 16335-2559
Phone (814) 333-7016
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412485 | Other | PA | UPMC |
| 1022492000001 | Medicaid | PA | |
| CN1527 | Other | PA | RR MEDICARE PTAN |
| 002064850 | Other | PA | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT011268 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1528244456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 LIBERTY ST",
"address_2": "MEADVILLE HOSPITALIST SERVICES",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352559",
"telephone_number": "814-333-7016",
"fax_number": "814-333-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-333-7016",
"fax_number": "814-333-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIBER",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT011268",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS014551",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS014551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "412485",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022492000001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "CN1527",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "002064850",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.