Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255449948 Individual Practitioner Female Practitioner

Lisa J. Sousou , PA

Physician Assistant • Fulton, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Sousou, PA is a certified Physician Assistant practicing in Fulton, NY. With approximately 26 years of clinical experience since completing medical education in 2000, Lisa Sousou delivers high-quality medical care to the local community at 522 S 4TH ST STE 500.

Lisa Sousou is affiliated with Oswego County Opportunities, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

522 S 4th St Ste 500

Fulton, NY 130692936

Telephone 3155984740
Fax 3155984728
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fulton, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +15.6 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Fulton, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sousou (26 Years) 26 Yrs
Fulton Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 008094

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Oswego County Opportunities, Inc.

522 S 4th St, Fulton, NY 130692936

Phone: 3155984740

Oswego County Opportunities, Inc.

10 George St, Oswego, NY 131263276

Phone: 3153420888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1124135025

Doctor of Medicine (M.D.)

NPI 1285741199

Doctor of Medicine (M.D.)

Kylie Lacey , NP

Nurse Practitioner - Family

NPI 1346358082

Nurse Practitioner

Dinah Olson , PA

Physician Assistant

NPI 1508974825

Physician Assistant

Susan Krzyzak , NP

Nurse Practitioner - Family

NPI 1558479204

Nurse Practitioner

Heather Shannon , NP

Nurse Practitioner - Women's Health

NPI 1790775005

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 20, 2019

Registered at 522 S 4TH ST STE 500, FULTON, NY 130692936 (Tel: 3155984740)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 522 S 4TH ST, SUITE 500, FULTON, NY 130692946 (Tel: 3155984740)

📍
Updated Business Mailing Address July 08, 2007

Registered at 239 ONEIDA ST, FULTON, NY 130691228 (Tel: 3155984715)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LISA SOUSOU, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #008094 in NY)

🟢
Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255449948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: March 20, 2019
Sole Proprietor: No

Mailing Address

239 Oneida St

Fulton, NY 130691228

Phone: 3155984715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.