Active NPI
Jerome P Lisk, MD, MBA
- Neurology Physician
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R1074
- Practice address
- 3537 S I 35 E Ste 112
Denton, TX 76210-6868 - Phone
- (940) 383-1770
- Fax
- (833) 992-0840
- NPI assigned
- Jun 3, 2006
- Last updated
- Apr 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R1074 | TX | Primary |
| Neurology Physician | 2084N0400X | 2004029825 | MO | |
| Neurology Physician | 2084N0400X | A88331 | CA |
Addresses
Primary practice location
3537 S I 35 E Ste 112
Denton, TX 76210-6868
Mailing address
3537 S I 35 E Ste 112
Denton, TX 76210-6868
Phone (940) 383-1770
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01773741 | Other | TX | RAIL ROAD MEDICARE |
| 366511901 | Medicaid | TX | |
| P00890011 | Other | CA | MEDICARE RAILROAD |
| 207238106 | Medicaid | MO | |
| 193247 | Other | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Virginia Commonwealth University, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15243 Vanowen St
Suite 205
Van Nuys, CA 91405-3640
Phone (760) 618-9285
3537 S I 35
Suite 112
Denton, TX 76210-6868
Phone (940) 383-1770
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88331 | CA | MD | Neurology Physician |
| R1074 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Talis Healthcare LLC | Current | Accepting new patients | |
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients |
Locations
3120 Medpark Dr
Ste 100
Denton, TX 76208
Phone (214) 432-7549
7227 Fannin St
Ste 101
Houston, TX 77030
Phone 84477677789
7501 Fannin St
Ste 900A
Houston, TX 77054
Phone (321) 888-2523
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
Interoperability endpoints
- jerome.lisk.1@22955.direct.athenahealth.com
- jlisk140047@christushealth.direct-ci.net
Organizations & group practices 5
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.
-
dba Southern California Movement Disorder Sepcialists
- Neurology Physician
- Denton, TX
- NPI 1598952616
CA
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Clinic/Center
- Houston, TX
- NPI 1821594060
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1326099383
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Austin, TX
- NPI 1811980139
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
- Rehabilitation Hospital
- Denton, TX
- NPI 1770740359
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Denton, TX
- NPI 1003883158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1821036500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 S I 35 E STE 112",
"city": "DENTON",
"state": "TX",
"postal_code": "762106868",
"telephone_number": "940-383-1770",
"fax_number": "833-992-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 S I 35 E STE 112",
"city": "DENTON",
"state": "TX",
"postal_code": "762106868",
"telephone_number": "940-383-1770",
"fax_number": "833-992-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISK",
"first_name": "JEROME",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "R1074",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2004029825",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A88331",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01773741",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366511901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00890011",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207238106",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "193247",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.