Suzan Olivia Lisenby, MD
Suzan Olivia Lisenby, MD is a Physical Medicine and Rehabilitation in Saint Joseph, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Missouri and Utah.
- Years since qualifying
- 8
- Trained at
- University of Missouri, Kansas City, School of Medicine
- Licensed in
- MO, UT
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
101 Mosaic Ct Ste 300Saint Joseph, MO 64506-0015
Phone: (816) 271-7673
Fax: (816) 271-4924
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 2022033965 (MO) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 11405437-1205 (UT) |
Record details
| NPI number | 1629572771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 22, 2018 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 6, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Poudre Valley Medical Group Llc — 2416 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Saint Joseph
-
Dr. Timmy Alan Ferrell, MD
5325 Faraon St, Saint Joseph, MO 64506-3488 · (816) 271-6000
-
Dr. Kenton C. Freeman, MD
218 S Woodbine Rd, Saint Joseph, MO 64506-3447 · (816) 383-3680
-
Jon Gertken, MD
101 Mosaic Ct Ste 300, Saint Joseph, MO 64506-0015 · (816) 271-7673
-
Anne A. Idiculla, MD
802 N Riverside Rd Ste 260, Saint Joseph, MO 64507-9794 · (816) 271-7673
-
Northwest Missouri Physical Medicine and Rehabilitation, LLC
105 Far West Dr Ste 201, Saint Joseph, MO 64506-3500 · (816) 271-8182
-
V Nanda Kumar, MD
105 Far West Dr Ste 203, Saint Joseph, MO 64506-3514 · (913) 364-3834