JAMES E LISLE (NPI# 1740379387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740379387 |
| Entity Type | Individual |
| Full Name | JAMES E LISLE |
| Credential | DPM |
| Practice Address |
3474 Liberty Rd S Salem OR 97302-4607 |
| Practice Telephone | 5035888188 |
| Practice Fax Number | 5035880884 |
| Mailing Telephone | 5035888188 |
| Mailing Fax Number | 5035880884 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
130 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 268243 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790778306 | James Thomas Lisle | Optometrist | 747 N State St, North Vernon, IN 47265-1044 | 2005-08-30 |
| Street Address |
3474 LIBERTY RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661517 | Trevor Tippets Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2019-10-18 |
| 1477931244 | Trevor Wood Tippets | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2015-05-13 |
| 1962745836 | Lee J. Poston | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2013-03-29 |
| 1528368883 | James E. Lisle Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2010-11-02 |
| 1073785648 | James E. Lisle | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356497622 | Benedict A Profera | Podiatrist | 1589 Innsbrooke Dr, Salem, VA 24153-1785 | 2007-01-26 |
| 1124661517 | Trevor Tippets Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2019-10-18 |
| 1619394061 | Jarod Spencer | Podiatrist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2014-03-24 |
| 1528368883 | James E. Lisle Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2010-11-02 |
| 1457660904 | Dpmbeckmannnror LLC | Podiatrist | 3760 Market St Ne # 105, Salem, OR 97301-1826 | 2010-10-01 |
| 1073785648 | James E. Lisle | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2008-03-24 |
| 1346435864 | Toni D Chadwick | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437204930 | Rogue Valley Foot Clinic P.C. | Podiatrist | 2655 Siskiyou Blvd, Medford, OR 97504-8125 | 2007-01-24 |
| 1659391233 | Leslie O Franson | Podiatrist | 1701 Ne 122nd Ave, Portland, OR 97230-1914 | 2006-07-19 |
| 1669857181 | Central Oregon Foot & Ankle Group, Inc. | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1696 | 2015-07-27 |
| 1821431727 | Jason A. Keeler | Podiatrist | 1880 Willamette Falls Dr, #111, West Linn, OR 97068-4652 | 2013-04-10 |
| 1306131032 | Dpmbeckmannnror LLC | Podiatrist | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2011-06-10 |
| 1588959209 | Dpmbeckmannnror LLC | Podiatrist | 835 Sw 11th St, Newport, OR 97365-4802 | 2011-06-10 |
| 1851686570 | Dpmbeckmannnror LLC | Podiatrist | 10435 Se Cora St, Portland, OR 97266-2331 | 2011-06-10 |
| 1306131024 | Dpmbeckmannnror LLC | Podiatrist | 2360 Chambers St, Eugene, OR 97405-1861 | 2011-06-10 |
| 1861673980 | John D Mozena | Podiatrist | 8305 Se Monterey, Ste 101, Portland, OR 97266-7728 | 2007-11-16 |
| 1790987428 | Cascade Foot Clinic | Podiatrist | 2408 Ne Division St, Bend, OR 97701-3543 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
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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.