William Mark Lister, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

199986 Issued in LA

Practice address

3516 Banks St
New Orleans, LA 70119-7002

Phone

(504) 373-8480

Fax

(504) 910-9141

NPI assigned

Jun 13, 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

Other identifiers 1

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

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.

• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Independence Emergency Group LLC

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1528384773
  Medicare reassignment NPD
• Van Meter Emergency Physicians Inc. Apmc

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1649410697
  Medicare reassignment NPD
• House Call Pediatrics LLC

  • Primary Care Clinic/Center
  • New Orleans, LA
  • NPI 1255928909
  NPD Authorized official
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD
• The Administrators of the Tulane Educational Fund

  dba Affiliated Services Billing-HPL

  • Specialist
  • New Orleans, LA
  • NPI 1437365863
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1336343359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 BANKS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197002",
            "telephone_number": "504-373-8480",
            "fax_number": "504-910-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 BANKS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197002",
            "telephone_number": "504-373-8480",
            "fax_number": "504-910-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "199986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1061522",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Byrd Healthcare Inc of Louisiana (LBH of Louisiana)
• Lisa P. Germain D.D.S., M.SC.D., L.L.C.
• Barbara Joan Liscum, FNP
• Jonathan Lissauer, MD
• Matthew Alan Lister
• Lit Smiles of New Orleans (Lit Smiles Pediatric Dentistry)
• William Russell Litchfield, MD
• Coralnelle Petrina Little
• Edgar Little
• Richard Coleson Little, PGSW

• Pediatrics Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.