Active NPI
Lisa Marie Pishock, CPCP
- Medical Art Specialist/Technologist
- Ellicott City, MD
National Provider Identifier
1437694585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- License
- NO LICENSING
- Practice address
- 3138 Rogers Ave
Ellicott City, MD 21043-3320 - Phone
- (410) 203-1564
- NPI assigned
- Dec 28, 2016
- 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 |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 246ZA2600X | NO LICENSING | MD | Primary |
Addresses
Primary practice location
3138 Rogers Ave
Ellicott City, MD 21043-3320
Mailing address
3138 Rogers Ave
Ellicott City, MD 21043-3320
Phone (410) 203-1564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NO LICENSING | MD | MD | Medical Art Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1437694585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3138 ROGERS AVE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433320",
"telephone_number": "410-203-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3138 ROGERS AVE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433320",
"telephone_number": "410-203-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISHOCK",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "CPCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "MD",
"license": "NO LICENSING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
- Physical Therapy at Crossroads, LLC
- Physical Therapy Dynamics, Inc
- Kristen L Pika, PT, DPT
- Carolina Pimenta, RN, BSN, IBCLC
- Kristen G Pinto-Coelho, PHD
- Frederick Charles Pitz Jr., CMT
- Pivot Physical Therapy of Central Maryland LLC
- Pivot Physical Therapy of Central Maryland LLC
- Plastic Surgery, P.a.
- Susan Pleva, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.