Andrea Lisco, M.D., PH.D

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11100 Euclid Av
University Hospitals of Cleveland
Cleveland, OH 44106-6031

Phone

(216) 844-1000

NPI assigned

Apr 22, 2011

Last updated

Apr 22, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1558652719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 PORTER ST NW",
            "address_2": "APT E-287",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162971",
            "telephone_number": "202-352-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AV",
            "address_2": "UNIVERSITY HOSPITALS OF CLEVELAND",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441066031",
            "telephone_number": "216-844-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCO",
        "first_name": "ANDREA",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Kevin Liptrap, M.ED.; ED. S.
• Joseph P. Lipuma, MD
• Anh Le Liquete, FNP-C
• Ronald Martin Lisan, M.D.
• Hanna H Lisbona, MD
• Nina Liserio
• Michelle V Lisgaris, MD
• Allyson Justine Lisheba, MED, BCBA, COBA
• Ariel Lisiecki
• David Liska, M.D.

• Student in an Organized Health Care Education/Training Program in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.