Active NPI
Aimee Joy Lischke, MD
- Family Medicine Physician
- Winston Salem, NC
National Provider Identifier
1114981339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 97-01463
- Practice address
- 1665 Westbrook Plaza Dr
Winston Salem, NC 27103-2993 - Phone
- (336) 760-8380
- Fax
- (336) 760-8388
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 97-01463 | NC | Primary |
Addresses
Primary practice location
1665 Westbrook Plaza Dr
Winston Salem, NC 27103-2993
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891231G | Medicaid | NC | |
| P00839207 | Other | NC | RR MEDICARE |
| 011PR | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1463 | NC | MD | Psychologist |
| 97-01463 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Health Care PA | Past | Accepting new patients |
Interoperability endpoints
- aimee.lischke@32586110599172.direct.elationemr.com
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1114981339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2536",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 WESTBROOK PLAZA DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032993",
"telephone_number": "336-760-8380",
"fax_number": "336-760-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISCHKE",
"first_name": "AIMEE",
"middle_name": "JOY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "97-01463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891231G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00839207",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "011PR",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.