Individual provider Active NPI

Lisa Kuehn, PA-C

  • Physician Assistant
  • Oaks, PA
National Provider Identifier
1629373790
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054730 Issued in PA
Practice address
450 Cresson Boulevard
Suite 110
Oaks, PA 19456
Phone
(610) 728-6100
NPI assigned
Jan 20, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054730 PA Primary
Physician Assistant 363A00000X OA002579 PA

Addresses

Primary practice location

450 Cresson Boulevard
Suite 110
Oaks, PA 19456

Mailing address

333 Richmond Rd
West Chester, PA 19380-4675
Phone (484) 467-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110713000133 PA Practitioner - Physician Assistant 8325216682 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002579PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc CurrentSince Dec 28, 2015 Accepting new patients
Temple Physician Inc. CurrentSince Dec 28, 2015 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Feb 1, 2014 Accepting new patients
Atlantic Physician Services of Maryland, P.C. Physician Assistant CurrentSince Dec 1, 2011 Accepting new patients
Premier Immediate Medical Care, LLC Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1629373790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RICHMOND RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804675",
            "telephone_number": "484-467-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BOULEVARD",
            "address_2": "SUITE 110",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "19456",
            "telephone_number": "610-728-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHN",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054730",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oaks, PA

Sources for this page

Verify at the official NPI Registry.