Edward J Lisecki, M.D.,

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

26008 Issued in LA

Practice address

516 Jefferson Ter
Suite 100
New Iberia, LA 70560-4948

Phone

(337) 364-5310

Fax

(337) 364-5313

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Tulane University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho Clinic - Professional MedicalGroup PAC ID 1355355777, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ortho Clinic - Professional Medical

  • Orthopaedic Surgery Physician
  • New Iberia, LA
  • NPI 1528108503
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No 1 of Iberia Parish

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925
  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088
  Care Compare affiliation

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1336206077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 JEFFERSON TER",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-364-5310",
            "fax_number": "337-364-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JEFFERSON TER",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604948",
            "telephone_number": "337-364-5310",
            "fax_number": "337-364-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISECKI",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "26008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestyle Medicine ,LLC
• Valerie Lightfoot
• Wayne T Lindemann, MD
• Lindsay Nicholson, LCSW, LLC
• John Kristian Lindsay, M.D.
• Lizabeth F. Clarke MD LLC
• Claude Vernon Lockhart Sr., MD
• Lopez Solutions Counseling Services LLC
• Matt Joseph Lopez, P.T.
• Lori E Scott

• Orthopaedic Surgery Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
• 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.

Verify at the official NPI Registry.