Active NPI
Lisa M Sartori, P.A.C.
- Surgical Physician Assistant
- Leesburg, FL
National Provider Identifier
1851456347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9102411
- Practice address
- 700 Doctors CT
Leesburg, FL 34748-7314 - Phone
- (352) 787-9838
- Fax
- (352) 787-8705
- NPI assigned
- Dec 26, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102411 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9102411 | FL | Primary |
Addresses
Primary practice location
700 Doctors CT
Leesburg, FL 34748-7314
Mailing address
PO Box 3130
Ocala, FL 34478-3130
Phone (352) 369-0286
Other practice location 1
131 S Citrus Ave
Inverness, FL 34452-4701
Phone (352) 637-0211
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL | |
| P00702088 | Other | FL | RR MEDICARE |
| Y04KN | Other | FL | BCBS OF FLORIDA |
| U2339 | Other | FL | BCBSFL |
Other names 1
- Lisa M Alm
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stuart Cardiovascular Anesthesia Associates PLLC | Past | Accepting new patients | |
| Earl S. Stewart, M.D., P.a. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Vascular Surgery Physician
- Ocala, FL
- NPI 1356510390
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1366487878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1851456347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3130",
"city": "OCALA",
"state": "FL",
"postal_code": "344783130",
"telephone_number": "352-369-0286",
"fax_number": "352-867-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 DOCTORS CT",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487314",
"telephone_number": "352-787-9838",
"fax_number": "352-787-8705"
}
],
"practiceLocations": [
{
"address_1": "131 S Citrus Ave",
"address_purpose": "LOCATION",
"city": "Inverness",
"state": "FL",
"postal_code": "344524701",
"country_code": "US",
"telephone_number": "352-637-0211",
"fax_number": "352-637-5733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARTORI",
"first_name": "LISA",
"middle_name": "M",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102411",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9102411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00702088",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "Y04KN",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "U2339",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "ALM",
"middle_name": "M",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.