Individual provider Active NPI

Lisa Marie Karres, D.O.

  • Family Medicine Physician
  • Newark, OH
National Provider Identifier
1619264488
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP2282058A06 Issued in OH
Practice address
1930 Tamarack Rd
Newark, OH 43055-2303
Phone
(740) 522-7600
Fax
(740) 522-6399
NPI assigned
Jun 30, 2011
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP2282058A06 OH Primary

Addresses

Primary practice location

1930 Tamarack Rd
Newark, OH 43055-2303

Mailing address

1930 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 522-7600

Other names 1

  • Lisa Marie Wilson Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708002001 OH Practitioner - Family Practice 2860617792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical and Surgical Associates IncGroup PAC ID 5890760938, 9 clinicians

Practice addresses (Care Compare)

1930 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 522-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
97.53
Improvement activities
40
Cost
68.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2282058A06OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical and Surgical Associates Inc Family Medicine CurrentSince Jul 7, 2014 Accepting new patients

Locations

1930 Tamarack Rd
Newark, OH 43055
Phone (740) 344-6901

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lkarres@masai-oh.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1619264488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-522-7600",
            "fax_number": "740-522-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-522-7600",
            "fax_number": "740-522-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "AP2282058A06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WILSON",
            "middle_name": "MARIE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.