Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013008127 Individual Practitioner Female Practitioner

Dr. Lisa A Davis , MD

Plastic Surgery • Willoughby, OH

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Davis, MD is a registered healthcare professional specializing in Plastic Surgery in Willoughby, OH. Practice services are available at 36100 EUCLID AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36100 Euclid Ave
#490

Willoughby, OH 440944456

Telephone 4409531818
Fax 4409538653
Associated Practice Facility / Clinic
🏢 Lake Hospital System Inc Facility NPI 1417991332

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Willoughby, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Willoughby, OH (240 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

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License OH 35-06-5167-D

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2027943 (OH)
Commercial Insurance / Payer ID Anthem
000000127718 (OH)
Commercial Insurance / Payer ID Qual Choice
80616 (OH)
Commercial Insurance / Payer ID Aetna
5143509 (OH)
Commercial Insurance / Payer ID United Health Care
1300195 (OH)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Dr. Harbhajan Parmar , MD

Internal Medicine

NPI 1003842824

Doctor of Medicine (M.D.)

George Drogomir , PA-C

Internal Medicine - Rheumatology

NPI 1013227628

Physician Assistant (Certified)

Dr. Mark Angel , MD

Internal Medicine - Interventional Cardiology

NPI 1154315661

Doctor of Medicine (M.D.)

NPI 1386751295

NURSEPRACTITIONER

Dr. Mohamed Atassi , MD

Internal Medicine - Cardiovascular Disease

NPI 1417916867

Doctor of Medicine (M.D.)

Dr. Khalil Azem , MD

Otolaryngology

NPI 1508859497

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 36100 EUCLID AVE, #490, WILLOUGHBY, OH 440944456 (Tel: 4409531818)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10605 MULBERRY RD, CHARDON, OH 440248702

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LISA DAVIS, M.D.

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

Plastic Surgery (License #35-06-5167-D in OH)

🟢
Initial NPI Registration & Enumeration September 27, 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: 1013008127
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

10605 Mulberry Rd

Chardon, OH 440248702

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.