DAVID LISAN D.O. NPI 1629148945

NPI Information

  • NPI: 1629148945
  • Provider Name: DAVID LISAN, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 913 MONTGOMERY AVE
    PENN VALLEY, PA
    ZIP 19072
  • Phone: (610) 664-3400

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NPI Details

David Lisan, D.O. is a general practice in Penn Valley, PA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee David Lisan, D.O. NPI is 1629148945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

913 MONTGOMERY AVE
PENN VALLEY, PA
ZIP 19072-501
Phone: (610) 664-3400
Fax: (610) 664-8482

The NPI 1629148945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • New patient custodial care facility, group care, or assisted living visit, typically 30 minutes (HCPCS:99325)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/12/2016.

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
1208D00000XGeneral PracticeOS009840LPENNSYLVANIAYes
2208D00000XGeneral PracticeOS7820FLORIDANo
3225100000XPhysical TherapistPT21515FLORIDANo
4225100000XPhysical TherapistDAPT001519PENNSYLVANIANo
5225100000XPhysical TherapistPT007501LPENNSYLVANIANo

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
1G79814MEDICARE UPINPENNSYLVANIA
2063841YVUFMEDICARE PINPENNSYLVANIA
337813MEDICARE PINPENNSYLVANIA

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: 11/21/2025

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