Organization Active NPI

Lisa Makrides, MD, PC

  • Pain Medicine (Anesthesiology) Physician
  • Lancaster, PA
National Provider Identifier
1750920526
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
LISA MAKRIDES, MD, PC
Practice address
1887 Lititz Pike Ste 3
Lancaster, PA 17601-6516
Phone
(717) 947-4325
Fax
(717) 947-4536
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Lisa Makrides, MDNPI 1508861014
Title
Owner
Phone
(917) 414-2886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1887 Lititz Pike Ste 3
Lancaster, PA 17601-6516

Mailing address

28 Pintail Turn
Lititz, PA 17543-8373
Phone (917) 414-2886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200306000005 PA Part B Supplier - Clinic/Group Practice 7618304502 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2178579Lisa Makrides, MD, PC1887 Lititz Pike, Suite 3, Lancaster, PA 17601Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

1887 Lititz Pike
Ste 3A
Lancaster, PA 17601
Phone (717) 947-4325

1887 Lititz Pike
Ste 3
Lancaster, PA 17601
Phone (717) 947-4325

1887 Lititz Pike
Ste 1
Lancaster, PA 17601
Phone (717) 947-4325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20760/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1750920526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PINTAIL TURN",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438373",
            "telephone_number": "917-414-2886",
            "fax_number": "717-947-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 LITITZ PIKE STE 3",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016516",
            "telephone_number": "717-947-4325",
            "fax_number": "717-947-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MAKRIDES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MAKRIDES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-414-2886",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.