Lisa Peterson Salata, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35076934 Issued in OH

Practice address

298 Shadywood Dr
Dayton, OH 45415-1238

Phone

(937) 657-7354

NPI assigned

Sep 8, 2006

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 identifiers 1

Other names 1

• Dr. Lisa Michelle Peterson Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

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 and National Provider Directory roles.

• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1811953052
  Medicare reassignment NPD
• Emerald Medical Practice PC

  • Specialist
  • Park City, UT
  • NPI 1447011267

  OH

  Medicare reassignment
• Premier Integrated Medical Assoc LTD

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1285690339
  NPD
• Columbus Dermatology Center, Inc.

  • Dermatology Physician
  • Grove City, OH
  • NPI 1215117429
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1710081096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 SHADYWOOD DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151238",
            "telephone_number": "937-657-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 SHADYWOOD DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151238",
            "telephone_number": "937-657-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALATA",
        "first_name": "LISA",
        "middle_name": "PETERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076934",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "OH",
            "license": "35076934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2277950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PETERSON",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Anne Salada, LISW
• Akmal Salam
• Kamil Basit Salam, DO
• Paula E Salamone, RN
• David Edward Salas, M.A., M.B.A.
• Carlos Luis Salazar, PSYD
• Hannah Catherine Salazar, LMHC, LPCC
• Samantha Salcido, MD
• Robin Elaine Saldivar
• Liana Saleh

• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.