NPIMap

Individual provider Active NPI

Lisa E Robertson, DO

  • Family Medicine Physician
  • South Abington Township, PA
National Provider Identifier
1710966692
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008274L Issued in PA
Practice address
790 Northern Blvd
Suite K
South Abington Township, PA 18411-8799
Phone
(570) 586-4141
Fax
(570) 586-6722
NPI assigned
Jan 10, 2006
Last updated
Feb 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008274L PA Primary

Addresses

Primary practice location

790 Northern Blvd
Suite K
South Abington Township, PA 18411-8799

Mailing address

790 Northern Blvd
Suite K
South Abington Township, PA 18411-8799
Phone (570) 586-4141

Other identifiers 1

IdentifierTypeStateIssuer
001532070MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000246 PA Practitioner - Internal Medicine 9234260266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Medical Oncology Selinsgrove CurrentSince Oct 1, 2014 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

231 Northern Blvd
Ste 2
South Abington Township, PA 18411
Phone (570) 585-6220

790 Northern Blvd
South Abington Township, PA 18411
Phone (570) 586-5155

790 Northern Blvd
Ste K
South Abington Township, PA 18411
Phone (570) 586-4141

Interoperability endpoints

  • Direct secure messaging: lrobertson@primemed.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1710966692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 NORTHERN BLVD",
            "address_2": "SUITE K",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118799",
            "telephone_number": "570-586-4141",
            "fax_number": "570-586-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 NORTHERN BLVD",
            "address_2": "SUITE K",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118799",
            "telephone_number": "570-586-4141",
            "fax_number": "570-586-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LISA",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008274L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001532070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Abington Township, PA

Sources for this page

Verify at the official NPI Registry.