JAMES EDWARD LISI (NPI# 1023101391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023101391 |
| Entity Type | Individual |
| Full Name | JAMES EDWARD LISI |
| Credential | M.D. |
| Practice Address |
125 E Broad St Elyria OH 44035-6429 |
| Mailing Address |
125 E Broad St Suite 114 Elyria OH 44035-6429 |
| Practice Telephone | 4403295943 |
| Practice Fax Number | 4403295949 |
| Mailing Telephone | 4403295943 |
| Mailing Fax Number | 4403295949 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2008-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35-06-1768-1 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0757972 | 05 |
| Street Address |
125 E BROAD ST |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436729 | Keith Warner | Surgery | 125 E Broad St, Ste 219, Elyria, OH 44035-6447 | 2005-06-11 |
| 1215200811 | Govind K Mehta, M.d., Inc. | Otolaryngology | 125 E Broad St, Suite 322, Elyria, OH 44035-6400 | 2012-02-14 |
| 1275812497 | Prakash Chand | Internal Medicine | 125 E Broad St, Suite 122, Elyria, OH 44035-6400 | 2011-08-04 |
| 1639498751 | North Ohio Heart Inc | Family Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2010-05-28 |
| 1962737783 | Elyria Internal Medicine, Inc | Internal Medicine | 125 E Broad St, Ste 202, Elyria, OH 44035-6400 | 2009-10-13 |
| 1477748325 | Elyria Obstetrics & Gynecology Inc | Obstetrics & Gynecology | 125 E Broad St, Suite 302, Elyria, OH 44035-6400 | 2007-09-12 |
| 1639384985 | Joanna Kristine Brown | Surgery | 125 E Broad St, Suite 219, Elyria, OH 44035-6400 | 2007-05-11 |
| 1245450881 | Mehdi H Shishehbor | Internal Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2007-04-26 |
| 1679615249 | Comprehensive Ventures Unlimited Inc | Pharmacy | 125 E Broad St, Suite 109, Elyria, OH 44035-6400 | 2007-02-12 |
| 1891841086 | S D Roy Md Inc | Internal Medicine | 125 E Broad St, Suite #122, Elyria, OH 44035-6400 | 2007-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689793655 | North Coast Gastroenterology, Inc | Specialist | 125 E Broad St Ste 114, Elyria, OH 44035-6429 | 2007-03-28 |
| 1073588414 | Sanjay R Parikh | Specialist | 673 E River St, Elyria, OH 44035-5935 | 2006-02-21 |
| 1184604019 | Rodney H Lynk | Specialist | 1180 E Broad St, Elyria, OH 44035-6306 | 2006-01-18 |
| 1861742058 | Christina Dora Smith | Specialist | 303 Chestnut Commons Dr, Elyria, OH 44035-9607 | 2012-09-14 |
| 1639454804 | Leidenheimer Dental Group | Specialist | 42707 N Ridge Rd, Elyria, OH 44035-1054 | 2011-10-19 |
| 1740599984 | M Benit Md Inc | Specialist | 661 E River St, Elyria, OH 44035-5901 | 2010-10-06 |
| 1285820415 | Sanjay Palekar Md Inc | Specialist | 436 E River St, Suite 8, Elyria, OH 44035-5200 | 2007-09-21 |
| 1548360811 | Ent & Allergy Health Services, Inc. | Specialist | 252 E Broad St, Elyria, OH 44035-6433 | 2006-09-25 |
| 1295766053 | Byong Jik Ahn | Specialist | 347 Midway Blvd, Suite 110, Elyria, OH 44035-9006 | 2006-07-06 |
| 1871568881 | Darshan Mahajan | Specialist | 673 E River St, Elyria, OH 44035-5935 | 2006-02-22 |
| Find all providers in ELYRIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.