Lydia Orlene Rising, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003506 Issued in MI

Practice address

43902 Woodward Ave
Suite 240
Bloomfield Hills, MI 48302-5011

Phone

(248) 454-7650

Fax

(248) 454-9794

NPI assigned

Jul 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1699793984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 LAKE CRESCENT DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022813",
            "telephone_number": "248-855-8077",
            "fax_number": "248-855-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "SUITE 240",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025011",
            "telephone_number": "248-454-7650",
            "fax_number": "248-454-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISING",
        "first_name": "LYDIA",
        "middle_name": "ORLENE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Riger
• Elaina Marie Riley, PNP
• Richard Riley, DDS
• Rise Psychiatric Services
• Rishi Rehabilitation LLC
• Rite Aid of Michigan Inc
• Merlyn Ivette Rivera Rivera, PHARM.D
• Hussein Rizk, DDS
• Carole B Rizzo, D.O.
• Robert a D Cain DDS PC

• Medical Physician Assistant in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.