Individual provider Active NPI

John R Lizak, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, PA
National Provider Identifier
1689655540
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN349613L Issued in PA
Practice address
1840 Quentin Rd
Lebanon, PA 17042-7436
Phone
(717) 272-0007
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN349613L PA Primary

Addresses

Primary practice location

1840 Quentin Rd
Lebanon, PA 17042-7436

Mailing address

PO Box 947
Chambersburg, PA 17201-0947
Phone (717) 263-5562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001315 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264321827 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ASC Anesthesia, LLCGroup PAC ID 9335689470, 4 clinicians
Wood and Myers Oral and Maxillofacial Surgery, P.C.Group PAC ID 6901877729, 13 clinicians
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Practice addresses (Care Compare)

1421 Fishburn Rd
Hershey, PA 17033-9795
Phone (717) 533-2224

207 S 32ND St
Wood and Myers Oral and Maxillofacial Surgeons
Camp Hill, PA 17011-5103
Phone (717) 763-1970

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2014 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Lancaster General Hospital CurrentSince Oct 13, 2014 Accepting new patients
ASC Anesthesia, LLC CurrentSince Aug 13, 2024 Accepting new patients
Wood & Myers Oral and Maxillofacial Surgery, PC CurrentSince Mar 1, 2025 Accepting new patients
Orthopedic Assoc of Lancaster LTD Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2022 Accepting new patients
Lancaster Orthopedic Group, Inc. CurrentSince Aug 20, 2024 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Oct 5, 2022 Accepting new patients
Wood & Myers Oral and Maxillofacial Surgery, P.C. CurrentSince Mar 1, 2025 Accepting new patients
Lancaster Hma Physician Management, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lebanon Anesthesia Associates LTD Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Past Accepting new patients
Central PA Anesthesia Partners, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lanaster General Hospital Nurse Anesthetist, Certified Registered PastSince Sep 1, 2020 Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

207 S 32nd St
Camp Hill, PA 17011
Phone (717) 763-1970

1421 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-2224

231 Granite Run Dr
Lancaster, PA 17601
Phone (717) 560-4200

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

170 N Pointe Blvd
Lancaster, PA 17601

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

1009 E Main St
Mount Joy, PA 17552
Phone (717) 544-3537

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1689655540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172010947",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 QUENTIN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427436",
            "telephone_number": "717-272-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZAK",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN349613L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.