ELLEN SEGAL LISMAN PA-C NPI 1366482531

NPI Information

NPI: 1366482531
Provider Name: ELLEN SEGAL LISMAN, PA-C
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
2701 HOLME AVE
SUITE 203
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 331-0515
Get Directions

Ellen Segal Lisman, PA-C is a nephrology internal medicine in Philadelphia, PA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Ellen Segal Lisman, PA-C NPI is 1366482531. 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:

2701 HOLME AVE
SUITE 203
PHILADELPHIA, PA
ZIP 19152-029
Phone: (215) 331-0515
Fax: (215) 331-8144

The enumeration date for this NPI number is 6/7/2006 and was last updated on 11/3/2010.

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	363AM0700X	Physician Assistant	Medical	MA003319L	PENNSYLVANIA	No
2	207RN0300X	Internal Medicine	Nephrology	MA003319L	PENNSYLVANIA	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	MA03319L	MEDICARE UPIN	PENNSYLVANIA
2	1045793	OTHER	PENNSYLVANIA	PHYSICIAN ASST LICENSE #

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: 11/14/2023

NPI Synchronization or Removal

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