Active NPI
Randy L. Lisch, DPM, P.a.
- Podiatrist
- Austin, TX
National Provider Identifier
1548356397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079893601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Kyle, TX
- NPI 1649652256
-
- Podiatrist
- Austin, TX
- NPI 1649323270
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.