Jordan M Lisella (NPI# 1720043946, PAC ID# 5698788180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1720043946 |
| PAC ID by PECOS | 5698788180 |
| Professional Enrollment ID | I20070823000249 |
| Full Name | Jordan M Lisella |
| Organization Legal Name | CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC |
| Address |
146 Jefferson Hts Suite 101 Catskill NY 12414-1215 |
| Phone Number | 5189430667 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2001 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3779496393 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| 330057 | ST PETER'S HOSPITAL |
| 330191 | GLENS FALLS HOSPITAL |
| 330003 | ALBANY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 146 Jefferson Hts, Suite 101, Catskill, NY 12414-1215 | 5189430667 | CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC |
| Organization Legal Name | CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George S Zanaros | Hand Surgery | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Kaushik Bagchi | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 146 Jefferson Hts, Suite 101, Catskill, NY 12414-1215 |
| Jeffrey Lozman | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 989 Route 146, Suite 300, Clifton Park, NY 12065-3647 |
| Sean Leahy | Physician Assistant | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Sarah Piebes | Physician Assistant | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Sarah E Dodge | Physician Assistant | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Matthew Tetreault | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Bradford A Palmer | Physician Assistant | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| James Lawrence | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Joachim J Tenuta | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 |
| Street Address |
146 JEFFERSON HTS SUITE 101 |
| City | CATSKILL |
| State | NY |
| Zip | 12414-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaushik Bagchi | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 146 Jefferson Hts, Suite 101, Catskill, NY 12414-1215 |
| Michael Flaherty | Orthopedic Surgery | Capital Region Orthopaedic Associates, PC | 146 Jefferson Hts, Suite 101, Catskill, NY 12414-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Tripp Rosenfield | Internal Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Kathleen B Marici | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Vinod K Gupta | Nephrology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Theresa A Meltz | Physician Assistant | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Ellen M Czajka | Diagnostic Radiology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Inna Kudria | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Mehjabin Zahir | Pulmonary Disease | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Marie C Lingat | Pulmonary Disease | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Edward M Marici | Obstetrics/gynecology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Jeff I Monkash | Gastroenterology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Find all physicians in zip 12414 | |||
| City | CATSKILL |
| Zip Code | 12414 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CATSKILL + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.