NPIMap

Individual provider Active NPI

Adam Lawrence Liss, MD

  • Radiation Oncology Physician
  • Green Bay, WI
National Provider Identifier
1700101250
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
64108 Issued in WI
Practice address
1580 Commanche Ave
Green Bay, WI 54313-5751
Phone
(920) 435-8326
Fax
(920) 738-6435
NPI assigned
Mar 27, 2010
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 64108 WI Primary

Addresses

Primary practice location

1580 Commanche Ave
Green Bay, WI 54313-5751

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-8340

Other practice location 1

480 E Division St
Fond Du Lac, WI 54935-3734
Phone (920) 926-4100

Other practice location 2

744 S Webster Ave
Green Bay, WI 54301-3581
Phone (920) 433-3643

Other practice location 3

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813010390 WI Practitioner - Radiation Oncology 2264747625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians
Newtro SCGroup PAC ID 7315437365, 7 clinicians

Practice addresses (Care Compare)

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 358-1520

1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888

2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505

2500 E Capital Dr
Appleton, WI 54911-8735
Phone (920) 454-3300

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

744 S Webster Ave
Green Bay, WI 54301-3505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64108WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Nov 15, 2017 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 1, 2017 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Radiology Associates of Appleton, S.C. Radiation Oncology CurrentSince Jun 1, 2017 Accepting new patients
Newtro SC CurrentSince Sep 29, 2025 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Radiology Associates of Appleton, S.C. Radiation Oncology CurrentSince Jun 1, 2017 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

229 S Morrison St
Appleton, WI 54911
Phone (920) 832-2783

2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600

2809 N Park Drive Ln
Appleton, WI 54911
Phone (920) 380-4999

5471 W Waterford Ln
Appleton, WI 54913

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

W12802 County Road A
Bowler, WI 54416
Phone (715) 793-4144

1580 Commanche Ave
Green Bay, WI 54313
Phone (920) 431-5687

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

305 E 12th St
Kaukauna, WI 54130
Phone (920) 731-3111

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

601 Grove Ave
Wild Rose, WI 54984
Phone (920) 622-3257

Interoperability endpoints

  • Direct secure messaging: aliss177725@direct.thedacare.org
  • Direct secure messaging: aliss978217@direct.emplifyhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1700101250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354560",
            "telephone_number": "920-926-8340",
            "fax_number": "920-926-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 COMMANCHE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135751",
            "telephone_number": "920-435-8326",
            "fax_number": "920-738-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 E Division St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549353734",
            "country_code": "US",
            "telephone_number": "920-926-4100",
            "fax_number": "920-926-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013581",
            "country_code": "US",
            "telephone_number": "920-433-3643",
            "fax_number": "920-431-5635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Arbutus Ave",
            "address_purpose": "LOCATION",
            "city": "Oconto",
            "state": "WI",
            "postal_code": "541532004",
            "country_code": "US",
            "telephone_number": "920-835-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISS",
        "first_name": "ADAM",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "64108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.