Michael Andrew Lishchynsky, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101919 Issued in NC

Practice address

5511 Raeford Rd Ste 150
Fayetteville, NC 28304-3049

Phone

(910) 630-5000

Fax

(910) 424-6767

NPI assigned

Apr 19, 2007

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Carolina Cape Fear Medical Group, PA

  • Cardiovascular Disease Physician
  • Fayetteville, NC
  • NPI 1124450572
  Medicare reassignment
• Palms Family Medicine, P.a.

  • General Practice Physician
  • Fayetteville, NC
  • NPI 1386861664
  NPD
• Healthsouth Men'S Clinic

  • Specialist
  • Fayetteville, NC
  • NPI 1851508949
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1750508131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "STE 150",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042058",
            "telephone_number": "910-764-1520",
            "fax_number": "910-424-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD STE 150",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043049",
            "telephone_number": "910-630-5000",
            "fax_number": "910-424-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISHCHYNSKY",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladine Lipinski, OT
• Jeremy Lipscomb, PHARMD
• Justina Lipscomb, PHARMD
• Kathryn Ann Lipscomb, M.D.
• Lisa Gushin D.D.S. P.a.
• Lit Candles Consumer Centered Services
• Christina Little
• Kaylan Little
• Lavonda Little
• Lienda Hanh Littlejohn, CRNA

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.