Lisa S Kyriakatos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052810 Issued in PA

Practice address

2200 Arch St
Suite 102
Philadelphia, PA 19103-1330

Phone

(215) 561-3363

Fax

(215) 561-4129

NPI assigned

Nov 2, 2006

Last updated

Dec 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cross Plastic Surgery Associates PLLC

  • Plastic Surgery Physician
  • Limerick, PA
  • NPI 1174785711
  Medicare reassignment
• University Otolaryngology Associates PC

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1457315715
  Medicare reassignment
• Main Line Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Bryn Mawr, PA
  • NPI 1750361978
  NPD
• PA Surgery Group LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1891477162
  NPD (past)
• SBS Dental Associates PA LLC

  dba Deme Dental Associates

  • Dentist
  • Philadelphia, PA
  • NPI 1083360788
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1831277177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ARCH ST",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031330",
            "telephone_number": "215-561-3363",
            "fax_number": "215-561-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ARCH ST",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031330",
            "telephone_number": "215-561-3363",
            "fax_number": "215-561-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKATOS",
        "first_name": "LISA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Kyem
• Kyle Schultz PSYD LLC
• Brianna Marie Kyncl, PHYSICIAN ASSISTANT
• Kynncare Home & Community Based Services, Inc.
• Kyra Sjarif LLC
• Ralph N Kyser III, LPC
• Melanie Sara Kzirian, MS
• L & a Home Care Services
• L & T Home Care LLC
• L Duffy-Tumasz, LLC

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.