Jeanne Lasota, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD061640L Issued in PA

Practice address

414 Paoli Pike
Malvern, PA 19355-3311

Phone

(484) 596-3963

NPI assigned

Dec 13, 2006

Last updated

May 11, 2015By 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 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

University of Texas Medical School at San Antonio, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates of the Main Line, PCGroup PAC ID 5799774188, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Medical Associates of the Main Line, PC

  • Hospitalist Physician
  • Malvern, PA
  • NPI 1033276076
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1881755874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "484-596-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "484-596-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASOTA",
        "first_name": "JEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD061640L",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD061640L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101380435",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary D. Kunz, PH.D.
• Kurt R. Crowley, M.D., P.C.
• Jennifer Grace Kwan-Morley, MD
• Kwensy200, Inc. (Well's Home Health Services)
• Charlley L Labik
• Caroline Lassen
• Abigail Leber, DPT
• Michael S Lee, M.D.
• Laura Z. Lehman, O.D.
• Michelle Leonard

• Hospitalist Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Hospitalist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.