Individual provider Active NPI

Lisa Ming-Wai So, P.A.

  • Medical Physician Assistant
  • Seattle, WA
National Provider Identifier
1871787341
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10005232 Issued in WA
Practice address
122 16TH Ave E
Floor 2
Seattle, WA 98112-5212
Phone
(206) 292-2277
Fax
(206) 292-2015
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10005232 WA Primary

Addresses

Primary practice location

122 16TH Ave E
Floor 2
Seattle, WA 98112-5212

Mailing address

122 16TH Ave E
Floor 2
Seattle, WA 98112-5212
Phone (206) 292-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20080909000545 WA Practitioner - Physician Assistant 7618043019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10005232WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Treatment Centers of America Professional Corporation of Washin Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lso100604@direct.ehre.uwmedicine.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1871787341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 16TH AVE E",
            "address_2": "FLOOR 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125212",
            "telephone_number": "206-292-2277",
            "fax_number": "206-292-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 16TH AVE E",
            "address_2": "FLOOR 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125212",
            "telephone_number": "206-292-2277",
            "fax_number": "206-292-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "LISA",
        "middle_name": "MING-WAI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.