1. Home
  2. Directory
  3. Ohio
  4. Beavercreek
  5. Physician Assistant
  6. NPI Profile

LISA RAE INNIS P.A-C
NPI 1922192350
Physician Assistant in Beavercreek, OH

Active since October 02, 2006
75 SYLVANIA DR, BEAVERCREEK, OH 45440(937) 320-5050(937) 320-5060 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2020, Nov 28, 2017 (2 updates tracked since 2017).

About Lisa Rae Innis P.a-c NPPES

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

LISA RAE INNIS P.A-C (NPI 1922192350) is an individual physician assistant in Beavercreek, Ohio, licensed in Ohio (50.001303RX) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1922192350
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA RAE INNISCredential: P.A-C
Location Address75 SYLVANIA DRBeavercreek, OH 45440-3237
Mailing Address75 Sylvania DrBeavercreek, OH 45440-3237 · (937) 320-5050 · Fax (937) 320-2060
Phone(937) 320-5050
Fax(937) 320-5060
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1922192350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50.001303RX✔ Licensed in CA · PA17447
Definition
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.
75 SYLVANIA DR, Beavercreek, OH 45440
Open in Google Maps ↗

Other Identifiers 1

Medicaid0385986OH

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.

DR. MICHAEL TIMOTHY LOUGHLIN D.O.
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Montgomery County (937) 320-5050
MARIA ANN CURTIS CRNA
Nurse Anesthetist, Certified Registered
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Montgomery County (937) 320-5050
DR. MICHAEL W GORSKY M.D.
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Montgomery County (937) 320-5050
JONATHAN C SAXE M.D.
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
DAYTON, OH 45440
Montgomery County (937) 320-5050
RHONDA S ARNOLD ACNP
Nurse Practitioner
75 SYLVANIA DR
DAYTON, OH 45440
Montgomery County (937) 320-5050
MICHELLE A ORTMAN P.A.-C
Physician Assistant
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Montgomery County (937) 320-5050
KALYAN MOHAN BHOOPAL M.D.
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
DAYTON, OH 45440
Montgomery County (937) 320-5050
ELLEN K RATAY APRN
Nurse Practitioner (Acute Care)
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Montgomery County (937) 320-5050

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 Innis's NPI number?

The NPI number for Lisa Innis is 1922192350. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Lisa Innis located?

Lisa Innis practices at 75 Sylvania Dr, Beavercreek, OH 45440. The listed phone number is (937) 320-5050.

What is Lisa Innis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Innis was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.