Frederic Eliot Liss, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD036317E Issued in PA

Practice address

400 Main St
Phoenixville, PA 19460-3810

Phone

(610) 935-1120

Fax

(610) 935-5507

NPI assigned

Jun 22, 2005

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278
  Medicare reassignment NPD
• Rothman Orthopaedics of New Jersey, LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment NPD
• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1497571830

  Orthopaedic Surgery

  NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Phoenixville Orthopedic Associates, PC

  dba RPS Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Phoenixville, PA
  • NPI 1629076609
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1447256680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 1402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "800-321-9999",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603810",
            "telephone_number": "610-935-1120",
            "fax_number": "610-935-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "FREDERIC",
        "middle_name": "ELIOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD036317E",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09448300",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "MD036317E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1292527",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Li, MD
• Liberty Dental Associates PC
• Liberty Dental Group
• Amanda Linda Light, MD
• Mark Liskey, LMT
• Robert Scott Livingston, DC
• Holly Lockhoff, MS, RD, CSSS, LDN
• Kenneth T Loesberg, DMD
• Ayanna Tamira Logan
• Jesiel Jovany Lombay, MD

• Orthopaedic Surgery Physician in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.