IndividualActive
John Lisiak, D.O.
NPI 1194868091 · Internal Medicine Physician · Clarks Summit, PA
Provider details
- NPI number
- 1194868091
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS013862 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
611 Morgan Hwy
Clarks Summit, PA 18411-9128
Phone: (570) 585-6700
Fax: (570) 585-6714
Street-level locationGet directions
Mailing address
844 Elm St
Olyphant, PA 18447-2136
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.