Organization Active NPI

Randy L. Lisch, DPM, P.a.

  • Podiatrist
  • Austin, TX
National Provider Identifier
1548356397
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RANDY L. LISCH, DPM, P.A.
Practice address
9012 Research Blvd
Suite C-13
Austin, TX 78758-7012
Phone
(512) 450-0101
Fax
(512) 450-0086
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Randy Lawrence Lisch, DPM
Title
President
Phone
(512) 450-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

9012 Research Blvd
Suite C-13
Austin, TX 78758-7012

Mailing address

9012 Research Blvd
Suite C-13
Austin, TX 78758-7012
Phone (512) 450-0101

Other identifiers 1

IdentifierTypeStateIssuer
079893601MedicaidTX

National Provider Directory

National Provider Directory

Locations

8820 Burnet Rd
Ste 501
Austin, TX 78757
Phone (512) 450-0101

9012 Research Blvd
Ste C13
Austin, TX 78758
Phone (512) 450-0101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1548356397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 RESEARCH BLVD",
            "address_2": "SUITE C-13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587012",
            "telephone_number": "512-450-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 RESEARCH BLVD",
            "address_2": "SUITE C-13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587012",
            "telephone_number": "512-450-0101",
            "fax_number": "512-450-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L. LISCH, DPM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "LISCH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-450-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079893601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.