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DAVID VANAVER LYSKOWSKI PA-C NPI 1750789558


NPI Information

NPI: 1750789558
Provider Name: DAVID VANAVER LYSKOWSKI, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
13782 PLANTATION RD
BUILDING 4, SUITE 201
FORT MYERS, FL
ZIP 33912
Phone: (239) 343-1105
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David Vanaver Lyskowski, PA-C is a medical physician assistant in Fort Myers, FL with 11 years of experience. David Vanaver Lyskowski, PA-C NPI is 1750789558. 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:

13782 PLANTATION RD
BUILDING 4, SUITE 201
FORT MYERS, FL
ZIP 33912-462
Phone: (239) 343-1105
Fax: (239) 343-1106

The NPI 1750789558 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.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 12/9/2014 and was last updated on 3/29/2021.


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
1363AM0700XPhysician AssistantMedical9107603FLORIDAYes

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
1014097500MEDICAIDFLORIDA
21346670130OTHERFLORIDATYPE 2 NPI

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

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.