Izolda Lishansky, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037461E Issued in PA

Practice address

2301 E Allegheny Ave
Suite 150
Philadelphia, PA 19134-4427

Phone

(215) 677-1475

Fax

(215) 677-3082

NPI assigned

Jul 31, 2006

Last updated

Nov 20, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1942444088

  Emergency Medicine

  Medicare reassignment NPD
• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD
• Temple Physicians Inc.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1013068899
  NPD
• Burholme Emergency Care Specialists LLC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1588693121
  NPD (past)
• Fair Hill Community Physicians

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1457049439

  Family Medicine

  NPD (past)
• Temple Physicians Inc

  • Urgent Care Clinic/Center
  • Fort Washington, PA
  • NPI 1003167115
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1164841946
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1295125235
  NPD (past)
• Temple Physicians Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Washington, PA
  • NPI 1518396530
  NPD (past)
• Temple Physicians Inc

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811248925

  Family Medicine

  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1952642936
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1861408098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-677-1475",
            "fax_number": "215-677-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E ALLEGHENY AVE",
            "address_2": "SUITE 150",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344427",
            "telephone_number": "215-677-1475",
            "fax_number": "215-677-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISHANSKY",
        "first_name": "IZOLDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD37461E",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037461E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI RAILROAD MEDICARE GROUP",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICAID GROUP",
            "identifier": "1007278000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011979300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa's Loving Care
• Rebecca Lisak
• Jaclyn Isis Lisberger, MACCC-SLP
• Jennifer M Lisberger, MACCC/SLP
• Dee Ann S Lisby, MD
• Louise Marie Lisi, M.D.
• Rachel Lisker
• Ellen Segal Lisman, PA-C
• Rebecca S Lisowski, CRNP
• Benjamin Liss, M.D.

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.