Individual provider Active NPI

Lisa L Ford, PA

  • Surgical Physician Assistant
  • Baltimore, MD
National Provider Identifier
1912936337
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0002649 Issued in MD
Practice address
301 Saint Paul PL
Surgical PA'S
Baltimore, MD 21202-2102
Phone
(410) 332-9265
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002649 MD
Surgical Physician Assistant 363AS0400X C0002649 MD Primary

Addresses

Primary practice location

301 Saint Paul PL
Surgical PA'S
Baltimore, MD 21202-2102

Mailing address

PO Box 64075
Baltimore, MD 21264-4075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080610000665 MD Practitioner - Physician Assistant 6204906787 Reassigns benefits to 5 organizations
I20210929002225 DC Practitioner - Physician Assistant 6204906787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1419 Knecht Ave
Baltimore, MD 21227-1415
Phone (410) 247-9595

7377 Washington Blvd
Suite 101 Concentrqa Urgent Care
Elkridge, MD 21075-6360
Phone (410) 379-3051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0002649MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Sep 14, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 3, 2020 Accepting new patients
St. Paul Place Specialists, Inc. CurrentSince Dec 2, 2002 Accepting new patients
Johns Hopkins University CurrentSince Apr 12, 2021 Accepting new patients
American Current Care, PA. CurrentSince Sep 14, 2021 Accepting new patients
Johns Hopkins University CurrentSince Apr 12, 2021 Accepting new patients
St Paul Place Specialists Inc CurrentSince Dec 2, 2002 Accepting new patients
American Current Care PA CurrentSince Sep 14, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

4940 Eastern Ave
Baltimore, MD 21224

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1912936337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64075",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SURGICAL PA'S",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002649",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0002649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.