Lisa Ann Barron, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301051544 Issued in MI

Practice address

44000 W 12 Mile Rd Ste 103
Novi, MI 48377-2646

Phone

(249) 946-4787

Fax

(248) 716-5956

NPI assigned

Sep 26, 2006

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Dermatology

Education

Medical College of Ohio, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Care Physicians PCGroup PAC ID 8921105255, 12 clinicians

Novi Dermatology PLLCGroup PAC ID 8325319262, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Novi Dermatology PLLC

  • Dermatology Physician
  • Novi, MI
  • NPI 1245751007
  Medicare reassignment Care Compare group NPD
• Skin Care Physicians PC

  • MOHS-Micrographic Surgery Physician
  • Rochester Hills, MI
  • NPI 1649300880
  Medicare reassignment Care Compare group NPD
• Medcentral Professional Association Inc.

  • Anesthesiology Physician
  • Mansfield, OH
  • NPI 1306878863
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1639270432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD STE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772646",
            "telephone_number": "249-946-4787",
            "fax_number": "248-716-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD STE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772646",
            "telephone_number": "249-946-4787",
            "fax_number": "248-716-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301051544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbarron@noviderm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Mod Med Direct Mail Dr Barron",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "44000 W 12 Mile Rd Ste 103",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483772646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Matthew Barrett Sr., AGACNP-BC
• Samuel Barrett
• Abdul Barrie
• Kristina Barron
• Liliana Barron
• Paula Barrow
• Judith Ann Bartkowiak
• Jeannie Bartlett
• Kelsey Bartlett
• Maria Bartlett

• Dermatology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.