JAMES CHESTER LISAK M.D. NPI 1336182260

NPI Information

NPI: 1336182260
Provider Name: JAMES CHESTER LISAK, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
360 FAUNCE CORNER RD
# 3
NORTH DARTMOUTH, MA
ZIP 02747
Phone: (774) 202-6240
Get Directions

James Chester Lisak, M.D. is a neurology psychiatry neurology in North Dartmouth, MA with 43 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. James Chester Lisak, M.D. NPI is 1336182260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1981

The provider's business location address is:

360 FAUNCE CORNER RD
# 3
NORTH DARTMOUTH, MA
ZIP 02747-257
Phone: (774) 202-6240
Fax: (774) 202-5179

The NPI 1336182260 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 enumeration date for this NPI number is 6/14/2006 and was last updated on 8/3/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		52025	MASSACHUSETTS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	52025	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J06006	OTHER	MASSACHUSETTS	BLUE SHIELD MASSACHUSETTS
2	B95325	MEDICARE UPIN	MASSACHUSETTS
3	3017117	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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