Individual provider Active NPI

Lisa M Rainey, DO

  • Emergency Medicine Physician
  • Mountain Top, PA
National Provider Identifier
1811937550
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS004232L Issued in PA
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

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000626921MedicaidPA
10388095OtherCAQH

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

LicenseStateTypeSpecialty
OS004232LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.