Individual provider Active NPI

Lisa Maria Griffith-Limon, DPM

  • Podiatrist
  • Lakewood Ranch, FL
National Provider Identifier
1093780090
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2721 Issued in FL
Practice address
11065 Gatewood Dr Ste C-102
Lakewood Ranch, FL 34211-4944
Phone
(941) 782-8639
Fax
(941) 751-0976
NPI assigned
Feb 22, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2721 FL Primary

Addresses

Primary practice location

11065 Gatewood Dr Ste C-102
Lakewood Ranch, FL 34211-4944

Mailing address

11065 Gatewood Dr Ste C-102
Lakewood Ranch, FL 34211-4944
Phone (941) 782-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001025 FL Practitioner - Podiatry 7214016583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4614 26TH St W
Bradenton, FL 34207-1701

4614 26TH W St
Bradenton, FL 34207-1701

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue70
Removal of skin lesions1-10
Removal of nail tissue36
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2721FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Podiatry Inc Podiatrist CurrentSince Aug 5, 1998 Accepting new patients
Limons Foot & Ankle Care Inc PastSince Jul 1, 2022 Accepting new patients
Jemaar Graham DPM PA Past Accepting new patients

Locations

4614 26th St W
Bradenton, FL 34207
Phone (941) 756-6906

11065 Gatewood Dr
Ste C102
Lakewood Ranch, FL 34211
Phone (941) 782-8639

11065 Gatewood Dr
#C102
Lakewood Ranch, FL 34211
Phone (941) 782-8639

11065 Gatewood Dr
Ste 102
Lakewood Rch, FL 34211
Phone (941) 782-8639

Interoperability endpoints

  • Direct secure messaging: lgriffith-limon@limon.mdlogic.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1093780090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR STE C-102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-782-8639",
            "fax_number": "941-751-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR STE C-102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-782-8639",
            "fax_number": "941-751-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH-LIMON",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.