Active NPI
Lisa A Mohr, MD
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00043847
- Practice address
- 2450 33Rd Ave W
Ste 100
Seattle, WA 98199-3252 - Phone
- (206) 320-3364
- Fax
- (206) 320-5869
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | MD00043847 | WA | |
| Family Medicine Physician | 207Q00000X | MD00043847 | WA | Primary |
Addresses
Primary practice location
2450 33Rd Ave W
Ste 100
Seattle, WA 98199-3252
Mailing address
PO Box 84026
Seattle, WA 98124-8426
Phone (206) 783-3948
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8438871 | Medicaid | WA | |
| 0202532 | Other | WA | LABOR AND INDUSTRIES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmohr1042565@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364
Hospital & facility affiliations
- Swedish Medical Center
- Swedish Edmonds Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
Locations
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
800 5th Ave
Ste 600
Seattle, WA 98104
Interoperability endpoints
- lmohr1042565@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Family Medicine Physician
- Seattle, WA
- NPI 1073553947
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1669534459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84026",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981248426",
"telephone_number": "206-783-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 33RD AVE W",
"address_2": "STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981993252",
"telephone_number": "206-320-3364",
"fax_number": "206-320-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "LISA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "MD00043847",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00043847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8438871",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0202532",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmohr1042565@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2450 33rd Ave W",
"address_2": "Ste 100",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981993252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.