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.

See every abbreviation used in this directory →

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
Mailing address3700 Park East Dr, Suite 100, Beachwood, OH 44122-4339

Other providers in Beachwood