Lisa Coelho, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10634 Issued in TX

Practice address

9635 Huebner Rd
San Antonio, TX 78240-1512

Phone

(210) 692-1181

Fax

(210) 994-9482

NPI assigned

Aug 11, 2016

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 TX

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alavie Interventional Pain Management, PLLCGroup PAC ID 8628328333, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Alavie Interventional Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Live Oak, TX
  • NPI 1265918569

  TX

  Medicare reassignment Care Compare group NPD
• Skin Surgery of San Antonio, PA

  • MOHS-Micrographic Surgery Physician
  • San Antonio, TX
  • NPI 1568774735
  NPD
• South Texas Cardiothoracic & Vascular Surgical Associates

  • Specialist
  • San Antonio, TX
  • NPI 1720020241
  NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1962956540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401512",
            "telephone_number": "210-692-1181",
            "fax_number": "210-641-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401512",
            "telephone_number": "210-692-1181",
            "fax_number": "210-994-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Coduto, RD
• Brooke Cody
• Courtney Cody, LCDC
• Stephen Cody, MD
• Sanford M Coe, D.C.
• Barry R Cofer, M.D.
• Rose C Cofer, M.D.
• Brian Paul Coffee
• Joy Helen Coffee, LMFT
• Jennifer Nicole Coffel, FNP-C

• All providers in San Antonio, TX
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.