Active NPI
Lisa M Rainey, DO
- Emergency Medicine Physician
- Mountain Top, PA
National Provider Identifier
1811937550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS004232L
- Practice address
- 215 Ledge LN
Mountain Top, PA 18707-1960 - Phone
- (570) 474-0629
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS004232L | PA | Primary |
| Family Medicine Physician | 207Q00000X | OS004232L | PA |
Addresses
Primary practice location
215 Ledge LN
Mountain Top, PA 18707-1960
Mailing address
1533 Commerce Ave
Ste 1
Carlisle, PA 17015-9128
Phone (717) 240-1322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000626921 | Medicaid | PA | |
| 10388095 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS004232L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekg Associates of Wyoming Valley LLP | Past | Accepting new patients | |
| Pelican Coast Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tiadaghton Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Medexpress Urgent Care, PC - Monaca | Emergency Medicine | Past | Accepting new patients |
| Southeast Pennsylvania Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Professional Emergency Care, PC | Emergency Medicine | Past | Accepting new patients |
| Harder Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Wilkes Barre, PA
- NPI 1720124811
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
Emergency Medicine
-
- Emergency Medicine Physician
- Honesdale, PA
- NPI 1861671091
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1588769251
-
- Emergency Medicine Physician
- Lock Haven, PA
- NPI 1407886328
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1841465101
-
- Emergency Medicine Physician
- Sebastian, FL
- NPI 1306926241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1811937550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 COMMERCE AVE",
"address_2": "STE 1",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170159128",
"telephone_number": "717-240-1322",
"fax_number": "717-240-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 LEDGE LN",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071960",
"telephone_number": "570-474-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS004232L",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004232L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000626921",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10388095",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.