Lisa Marie Cantor-Jacobson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.070977 Issued in OH

Practice address

3000 Hospital Dr
Batavia, OH 45103-1921

Phone

(513) 732-8629

Fax

(513) 732-8626

NPI assigned

Dec 7, 2005

Last updated

Jun 2, 2022By 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 2

Addresses

Other names 1

• Lisa Marie Cantor Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lcantorjacobson1006185@direct.bsmhealth.org

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.

• Psychiatric Professional Services

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1447343306
  NPD (past)
• University Family Physicians, Inc.

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1609842087
  NPD (past)
• University of Cincinnati Medical Center, LLC

  dba UC Health West Chester Pharmacy

  • Community/Retail Pharmacy
  • West Chester, OH
  • NPI 1912285115
  NPD (past)
• West Chester Hospital LLC

  • General Acute Care Hospital
  • West Chester, OH
  • NPI 1851549273

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1649255167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-732-8629",
            "fax_number": "513-732-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-732-8629",
            "fax_number": "513-732-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Philadelphia Dr",
            "address_2": "Ste. 4505",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061813",
            "country_code": "US",
            "telephone_number": "937-499-8273",
            "fax_number": "937-223-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTOR-JACOBSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.070977",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.070977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "lcantorjacobson846279@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "2222 Philadelphia Dr",
            "address_2": "Ste. 4505",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454061813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CANTOR",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cleveland Caldwell, CDCA
• Hannah Marie Calvert, CDCA
• Megan Cameron, M.S, BCBA, COBA, LBA
• Andrew N Campbell
• Tracee Lynn Campbell, PHARMACIST
• Angela Carlson, PT
• James Cavana
• Toni Cave, RN
• Center for Physical Therapy
• Central Joint Fire-EMS District

• Psychiatry Physician in Batavia, OH
• Providers in Batavia, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.