LISA PARK – NPI #1568857142
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Health Care Provider Taxonomy Code for Colon & Rectal Surgery

LISA PARK is a colon & rectal surgeon located in LARKSPUR, CA. NPPES has assigned the NPI number 1568857142 to LISA PARK on April 01, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was previously updated about 5 years ago on Dec 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA PARK below.

NPI Profile for
LISA PARK

NPI Number
1568857142
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA PARK
Primary location
5 BON AIR RD STE 101
LARKSPUR, CA 94939-1134
Phone: (415) 924-2515 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Dec 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208C00000X
- Colon & Rectal Surgery (Primary)		 CA A168789
208600000X
- Surgery		 OH 57.027085

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY - Graduated 2015
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LISA PARK is affiliated with the following medical group(s):
  • HOSPITAL
    • MARIN GENERAL HOSPITAL
      250 BON AIR ROAD, PO BOX 8010
      GREENBRAE, CA 94904
    • NOVATO COMMUNITY HOSPITAL
      180 ROWLAND WAY
      NOVATO, CA 94945
  • HOME HEALTH AGENCY
    • SUTTER VISITING NURSE ASSOCIATION
      100 ROWLAND WAY, SUITE 210
      NOVATO, CA 94945

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.