Individual provider Active NPI

Lisa Denise Naughton, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1578232153
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1205 Crummell Ave
Annapolis, MD 21403-4616
Phone
(410) 991-7007
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1205 Crummell Ave
Annapolis, MD 21403-4616

Mailing address

1205 Crummell Ave
Annapolis, MD 21403-4616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20220203000478 MD Practitioner - Physician Assistant 7214320829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Baltimore, MD 21215-5271

2411 W Belvedere Ave
Rehab Medicine Associates
Baltimore, MD 21215-5271
Phone (410) 601-8691

5051 Greenspring Ave
Baltimore, MD 21209-4354
Phone (410) 601-9513

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-5976

6190 Georgetown Blvd
Suite 102
Eldersburg, MD 21784-6460
Phone (410) 601-0900

Hospital & facility affiliations

  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Feb 23, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Feb 23, 2022 Accepting new patients
Carroll Health Group, LLC CurrentSince Dec 23, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

6190 Georgetown Blvd
Ste 102
Eldersburg, MD 21784
Phone (410) 469-4937

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

193 Stoner Ave
Ste 340
Westminster, MD 21157
Phone (410) 871-9800

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1578232153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CRUMMELL AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CRUMMELL AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034616",
            "telephone_number": "410-991-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGHTON",
        "first_name": "LISA",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.