DR. JACK S LISSAUER MD
NPI 1720087356
Internal Medicine - Gastroenterology in Beachwood, OH
NPI Status: Active since July 15, 2005
Contact Information
3700 PARK EAST DR
SUITE 100
BEACHWOOD, OH
ZIP 44122
Phone: (216) 593-7700
Fax: (216) 593-7190
- Individual
- Male
- Internal Medicine
- Gastroenterology
About JACK LISSAUER
This page provides the complete NPI Profile along with additional information for Jack Lissauer, an internist established in Beachwood, Ohio with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1720087356 assigned on July 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 35038212L (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1720087356
- Provider Name
- DR. JACK S LISSAUER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3700 PARK EAST DR SUITE 100 BEACHWOOD, OH 44122
- Location Phone
- (216) 593-7700
- Location Fax
- (216) 593-7190
- Mailing Address
- 3700 PARK EAST DR SUITE 100 BEACHWOOD, OH 44122
- Mailing Phone
- (216) 593-7700
- Mailing Fax
- (216) 593-7190
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2005
- Last Update Date
- 10-24-2007
- Code Navigator
An internist like Jack Lissauer is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35038212L
- License State
- OH
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5089882001 | OTHER (01) | OH | CIGNA |
| 000000127021 | OTHER (01) | OH | OHIO OPERATING ENGINEERS |
| 4079026 | OTHER (01) | OH | AETNA |
| 0307699 | MEDICAID (05) | OH | |
| LI0421211 | MEDICARE PIN (08) | OH | |
| 000000127021 | OTHER (01) | OH | ANTHEM BCBS & ANTHEM SR |
| P1482889 | OTHER (01) | OH | OXFORD INSURANCE |
| 603650 | OTHER (01) | OH | UNITED HEALTHCARE |
| LI0421211 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | MEDICARE |
| 000000127021 | OTHER (01) | OH | ONE NATION BENEFIT ADMIN. |
| R38212 | OTHER (01) | OH | APEX & SUMMACARE |
| LI0421212 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | MEDICARE |
| A75550 | MEDICARE UPIN (02) | OH |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 8 | 7 | 3 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 8 | 14 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 8 + 1 + 4 + 3 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1720087356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215147079 | DR. THOMAS STEWART KELLY DDS Individual | Dentist (General Practice) | 3700 PARK EAST DR SUITE 180 BEACHWOOD, OH 44122 (216) 464-3777 |
| 1609060318 | THOMAS ROBERT DEJAK M.D. Individual | Otolaryngology | 3700 PARK EAST DR 4TH FLOOR CLEVELAND, OH 44122 (216) 763-3106 |
| 1770882052 | GAC ANESTHESIA LLC Organization | Anesthesiology | 3700 PARK EAST DR STE 100 BEACHWOOD, OH 44122 (216) 593-7180 |
| 1598791873 | FRANKLIN & SEIDELMANN MEDICAL CORP Organization | Radiology (Diagnostic Radiology) | 3700 PARK EAST DR 3RD FLOOR BEACHWOOD, OH 44122 (855) 236-2649 |
| 1013967025 | CLEVELAND CENTER FOR DIGESTIVE Organization | Clinic/Center (Corporate Health) | 3700 PARK EAST DR SUITE 100 BEACHWOOD, OH 44122 (216) 593-7700 |
| 1013914100 | BEATRIX DAGMAR ARAIZA M.D. Individual | Radiology (Diagnostic Radiology) | 3700 PARK EAST DR SUITE 300 BEACHWOOD, OH 44122 (855) 292-1401 |
| 1588869929 | FSH RADIOLOGY INC Organization | Radiology (Diagnostic Radiology) | 3700 PARK EAST DR SUITE #300 BEACHWOOD, OH 44122 (855) 236-2649 |
| 1962533448 | MR. JAMES JOSEPH ANDRASSY PA-C Individual | Physician Assistant (Medical) | 3700 PARK EAST DR STE 100 BEACHWOOD, OH 44122 (216) 593-7180 |
| 1417400136 | NICOLE SEDANO NP-C Individual | Nurse Practitioner (Adult Health) | 3700 PARK EAST DR BEACHWOOD, OH 44122 (216) 593-7700 |
| 1437686102 | GASTROENTEROLOGY ASSOCIATES OF CLEVELAND, INC. Organization | Nurse Practitioner (Family) | 3700 PARK EAST DR STE 100 BEACHWOOD, OH 44122 (216) 593-7180 |
| 1689884447 | THOMAS S. KELLY, DDS, INC. Organization | Dentist (General Practice) | 3700 PARK EAST DR SUITE 180 BEACHWOOD, OH 44122 (216) 464-3777 |
| 1164573317 | TRISHA DORAN M.D. Individual | Internal Medicine (Gastroenterology) | 3700 PARK EAST DR STE 100 BEACHWOOD, OH 44122 (216) 593-7700 |
| 1639178163 | GASTROENTEROLOGY ASSOCIATION OF CLEVELAND, INC. Organization | Internal Medicine (Gastroenterology) | 3700 PARK EAST DR SUITE 100 BEACHWOOD, OH 44122 (216) 593-7502 |
| 1649855776 | THOMAS MERIDIETH Individual | Nurse Practitioner (Family) | 3700 PARK EAST DR SUITE 450 BEACHWOOD, OH 44122 (866) 849-0692 |
| 1720310139 | MS. MELISSA LYNN CARPENTER CRNA Individual | Nurse Anesthetist, Certified Registered | 3700 PARK EAST DR BEACHWOOD, OH 44122 (216) 545-8107 |
| 1235183435 | DR. JEFFREY S. BISKER MD Individual | Radiology (Diagnostic Radiology) | 3700 PARK EAST DR SUITE 450 BEACHWOOD, OH 44122 (855) 292-1401 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720087356, enumerated in the NPI registry as an "individual" on July 15, 2005
The provider is located at 3700 Park East Dr Suite 100 Beachwood, Oh 44122 and the phone number is (216) 593-7700
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Aetna, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 15, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.