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LISE J TARDIF FAMILY PRACTICE NPI 1316959166


NPI Information

NPI: 1316959166
Provider Name: LISE J TARDIF, FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
26 QUEEN ST
MEDICAL
WORCESTER, MA
ZIP 01610
Phone: (508) 860-7700
Get Directions

Lise J Tardif, FAMILY PRACTICE is a family medicine in Worcester, MA with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Lise J Tardif, FAMILY PRACTICE NPI is 1316959166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

26 QUEEN ST
MEDICAL
WORCESTER, MA
ZIP 01610-473
Phone: (508) 860-7700
Fax: (508) 860-7990

The NPI 1316959166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine76680MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10006767OTHERMASSACHUSETTSNHP-GROUP
2Y10141OTHERMASSACHUSETTSBCBS-GROUP
336702OTHERMASSACHUSETTSFALLON SELECT
4347293OTHERMASSACHUSETTSCIGNA
570951OTHERMASSACHUSETTSHARVARD PILGRIM
6Y10141MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSPART B-GROUP
7221804MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
899734901OTHERMASSACHUSETTSNETWORK HEALTH
923507OTHERMASSACHUSETTSCMSP
101300709MEDICAIDMASSACHUSETTS
112198604OTHERMASSACHUSETTSUNITED HEALTHCARE
12F39246MEDICARE UPINMASSACHUSETTS
130002565OTHERMASSACHUSETTSNHP
141300709OTHERMASSACHUSETTSCMSP-GROUP
15Y02734MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSPART B
16F39246MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.