Individual provider · Type 1 NPI

Lisa Marie Shoulders, PA-C

Physician Assistant · Westerville, OH

NPI number 1093379737 Active

Practice location

6100 N Hamilton Rd
Westerville, OH 43081-2062

Fax (614) 293-8518

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Other practice locations

  • 410 W 10th Ave, Columbus, OH 43210-1240 · (614) 685-2705

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.007564RX (OH)

Physician Assistant: 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, orde…

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About NPI 1093379737

Lisa Marie Shoulders, PA-C's National Provider Identifier is 1093379737, issued on Apr 29, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Westerville, OH. The record was last updated on Apr 17, 2026.