DR. MARK D LISBERGER M.D. NPI 1982608824

NPI Information

NPI: 1982608824
Provider Name: DR. MARK D LISBERGER, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1999 SPROUL RD
STE 21
BROOMALL, PA
ZIP 19008
Phone: (610) 353-6400
Get Directions

DR. Mark D Lisberger, M.D. is a cardiovascular disease internal medicine in Broomall, PA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mark D Lisberger, M.D. NPI is 1982608824. 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:

1999 SPROUL RD
STE 21
BROOMALL, PA
ZIP 19008-508
Phone: (610) 353-6400
Fax: (610) 356-1204

The enumeration date for this NPI number is 6/9/2005 and was last updated on 1/23/2008.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	MD025410E	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	0031398000	OTHER	PENNSYLVANIA	KEYSTONE
2	58229	OTHER	PENNSYLVANIA	AETNA
3	428350FUH	MEDICARE PIN	PENNSYLVANIA
4	CF6196	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
5	428350	OTHER	PENNSYLVANIA	BLUE SHIELD
6	B41646	MEDICARE UPIN	PENNSYLVANIA
7	0009835400001	MEDICAID	PENNSYLVANIA

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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