NPIMap

Individual provider Active NPI

Lisa K Gieseke, DO

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1831124411
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35455 Issued in CO
Practice address
1411 S Potomac St
Suite 300
Aurora, CO 80012-4536
Phone
(303) 531-4910
Fax
(303) 309-3733
NPI assigned
Jul 11, 2006
Last updated
May 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 35455 CO Primary

Addresses

Primary practice location

1411 S Potomac St
Suite 300
Aurora, CO 80012-4536

Mailing address

1411 S Potomac St
Suite 300
Aurora, CO 80012-4536
Phone (303) 531-4910

Other identifiers 1

IdentifierTypeStateIssuer
01354554MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050117000158 CO Practitioner - Family Practice 2062303845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Cornerstone Family Practice PCGroup PAC ID 1759272529, 2 clinicians

Practice addresses (Care Compare)

1411 S Potomac St
Suite 300
Aurora, CO 80012-4539
Phone (303) 531-4910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35455COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Practice PC Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

1400 S Potomac St
Ste 250
Aurora, CO 80012
Phone (303) 531-4910

1411 S Potomac St
Ste 300
Aurora, CO 80012
Phone (303) 531-4910

Organizations & group practices 2

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 11

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1831124411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "SUITE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-531-4910",
            "fax_number": "303-309-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "SUITE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-531-4910",
            "fax_number": "303-309-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESEKE",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.