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DR. JACK S LISSAUER MD
NPI 1720087356
Internal Medicine - Gastroenterology in Beachwood, OH

Active since July 15, 2005
3700 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122(216) 593-7700(216) 593-7190 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack S Lissauer Md NPPES

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

DR. JACK S LISSAUER MD (NPI 1720087356) is an individual gastroenterology provider in Beachwood, Ohio, licensed in Ohio (35038212L) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1720087356
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JACK S LISSAUERCredential: MD
Location Address3700 PARK EAST DR, SUITE 100Beachwood, OH 44122-4339
Mailing Address3700 Park East Dr, Suite 100Beachwood, OH 44122-4339 · (216) 593-7700 · Fax (216) 593-7190
Phone(216) 593-7700
Fax(216) 593-7190
Sole ProprietorNo
Enumeration DateJuly 15, 2005
Last NPPES UpdateOctober 24, 2007
✔ NPI 1720087356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35038212L
Definition
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.
3700 PARK EAST DR, Beachwood, OH 44122
Open in Google Maps ↗

Other Identifiers 13

Other5089882001OH · Cigna
Other000000127021OH · Ohio Operating Engineers
Other4079026OH · Aetna
Medicaid0307699OH
Medicare PINLI0421211OH
Other000000127021OH · Anthem Bcbs & Anthem Sr
OtherP1482889OH · Oxford Insurance
Other603650OH · United Healthcare
Medicare ID-Type UnspecifiedLI0421211OH · Medicare
Other000000127021OH · One Nation Benefit Admin.
OtherR38212OH · Apex & Summacare
Medicare ID-Type UnspecifiedLI0421212OH · Medicare
Medicare UPINA75550OH

Other Providers at the Same Location NPPES 15

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

BEATRIX DAGMAR ARAIZA M.D.
Radiology (Diagnostic Radiology)
3700 PARK EAST DR, SUITE 300
BEACHWOOD, OH 44122
Cuyahoga County (855) 292-1401
CLEVELAND CENTER FOR DIGESTIVE
Clinic/Center (Corporate Health)
3700 PARK EAST DR, SUITE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-7700
TRISHA DORAN M.D.
Internal Medicine (Gastroenterology)
3700 PARK EAST DR, STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-7700
DR. JEFFREY S. BISKER MD
Radiology (Diagnostic Radiology)
3700 PARK EAST DR, SUITE 450
BEACHWOOD, OH 44122
Cuyahoga County (855) 292-1401
MEGAN OLSON
Nurse Practitioner
3700 PARK EAST DR
BEACHWOOD, OH 44122
Cuyahoga County (866) 849-0692
NICOLE SEDANO NP-C
Nurse Practitioner (Adult Health)
3700 PARK EAST DR
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-7700
GASTROENTEROLOGY ASSOCIATES OF CLEVELAND, INC.
Nurse Practitioner (Family)
3700 PARK EAST DR, STE 100
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-7180
FSH RADIOLOGY INC
Radiology (Diagnostic Radiology)
3700 PARK EAST DR, SUITE #300
BEACHWOOD, OH 44122
Cuyahoga County (855) 236-2649

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 Jack Lissauer's NPI number?

The NPI number for Jack Lissauer is 1720087356. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Jack Lissauer located?

Jack Lissauer practices at 3700 Park East Dr Suite 100, Beachwood, OH 44122. The listed phone number is (216) 593-7700.

What is Jack Lissauer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Jack Lissauer was last updated on October 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.