Active NPI
Joshua Stephen Lies, PA-C
- Medical Physician Assistant
- Naples, FL
National Provider Identifier
1114299245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9106373
- Practice address
- 2610 Marshcreek LN
Unit 102
Naples, FL 34119-7949 - Phone
- (239) 596-1930
- NPI assigned
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106373 | FL | Primary |
Addresses
Primary practice location
2610 Marshcreek LN
Unit 102
Naples, FL 34119-7949
Mailing address
2610 Marshcreek LN
Unit 102
Naples, FL 34119-7949
Phone (239) 596-1930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131203001008 | FL | Practitioner - Physician Assistant | 8527294123 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thse - Marco Urgent Care LLC
Practice addresses (Care Compare)
40 S Heathwood Dr
Marco Island, FL 34145-5026
Phone (239) 394-8234
Hospital & facility affiliations
- Naples Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106373 | FL | MD | Medical Physician Assistant |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
FL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1114299245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 MARSHCREEK LN",
"address_2": "UNIT 102",
"city": "NAPLES",
"state": "FL",
"postal_code": "341197949",
"telephone_number": "239-596-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 MARSHCREEK LN",
"address_2": "UNIT 102",
"city": "NAPLES",
"state": "FL",
"postal_code": "341197949",
"telephone_number": "239-596-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIES",
"first_name": "JOSHUA",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.