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MS. LISA S BOBAY PA-C
NPI 1568457356
Physician Assistant - Medical in Fort Wayne, IN

Active since September 17, 2005
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lisa S Bobay Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA S BOBAY PA-C (NPI 1568457356) is an individual medical provider in Fort Wayne, Indiana, licensed in Indiana (10000360A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1568457356
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. LISA S BOBAYCredential: PA-C
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3640 New Vision Drive, Suite AFort Wayne, IN 46845-1717 · (260) 482-4440 · Fax (260) 482-4442
Phone(260) 373-4000
Fax(260) 482-4442
Sole ProprietorNo
Enumeration DateSeptember 17, 2005
Last NPPES UpdateJuly 18, 2013
✔ NPI 1568457356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10000360A
2200 RANDALLIA DR, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINS81563IN
Medicare ID-Type Unspecified047840DDDIN
Medicare ID-Type Unspecified970022079Rr Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MR. THOMAS G EDWARDS PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bobay's NPI number?

The NPI number for Lisa Bobay is 1568457356. It was assigned to this individual provider in the NPPES registry on September 17, 2005.

Where is Lisa Bobay located?

Lisa Bobay practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.

What is Lisa Bobay's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lisa Bobay was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.