Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack S Lissauer, MD

Individual provider Gastroenterology Physician · NPI 1720087356

Dr. Jack S Lissauer, MD is a Gastroenterology Physician in Beachwood, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3700 Park East Dr Ste 100
Beachwood, OH 44122-4339
Phone: (216) 593-7700
Fax: (216) 593-7190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 35038212L (OH)

Record details

NPI number1720087356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2005
Last updated in NPPESOctober 24, 2007

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