Lisa Fitzmaurice, PA
Physician Assistant in Schenectady, NY. Individual provider (NPI-1).
NPI number1457572034
StatusActive
Last updated in NPPESSep 10, 2018
Details
- NPI
- 1457572034
- Entity type
- Individual (NPI-1)
- Name
- Lisa Fitzmaurice
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Last updated
- Sep 10, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 014901 | NY | Yes |
| 225X00000X | Occupational Therapist | 9017 | MA |
Other names
- Lisa Tracy (Former Name)
Practice location
1040 State StSchenectady, NY 12307-1508
Phone 518-374-5353 · Fax 518-382-5753
Mailing address
80 Pawling Ave Apt 2Troy, NY 12180-4755
Phone 617-694-3594
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 89 Physician Assistant providers in Schenectady · All 3,004 providers in Schenectady
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