Individual provider Active NPI

Lindsay Conlisk, PA

  • Physician Assistant
  • Darby, PA
National Provider Identifier
1780306746
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006239 Issued in PA
Practice address
1501 Lansdowne Ave
Darby, PA 19023-1333
Phone
(610) 237-4104
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA006239 PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave
Darby, PA 19023-1333

Mailing address

254 S 23Rd St Unit 1F
Philadelphia, PA 19103-5530
Phone (714) 866-9759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221019001409 PA Practitioner - Physician Assistant 9830565613 Reassigns benefits to 1 organization
I20260625004768 CA Practitioner - Physician Assistant 9830565613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solomon Medical IncGroup PAC ID 4385041334, 31 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

1501 Lansdowne Ave
Darby, PA 19023-1333

637 E Romie LN
Salinas, CA 93901-4205
Phone (831) 373-3716

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 13, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Urology Past Accepting new patients

Locations

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1501 Lansdowne Ave
Fl 1
Darby, PA 19023
Phone (610) 237-2531

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2821 Island Ave
Ste 204
Philadelphia, PA 19153
Phone (215) 863-6110

Interoperability endpoints

  • Direct secure messaging: lconlisk2262995@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1780306746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S 23RD ST UNIT 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035530",
            "telephone_number": "714-866-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-237-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLISK",
        "first_name": "LINDSAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.