Matthew Lisi
Pediatrics | Male
Matthew Lisi is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Matthew Lisi is
1001 Blythe Blvd, Suite 200d, Charlotte, North Carolina - 28203-5866. He can be contacted on phone at
704-373-1813.
Matthew Lisi is a sole proprietor of his business.
NPI number (Unique professional ID) for Matthew Lisi is
1871736157 which was assigned by NPPES on 15 Apr, 2009 and it was last updated on 08 Nov, 2018.
Matthew Lisi license number is
2016-01243 for Pediatrics (208000000X) in North Carolina.
Matthew Lisi is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Matthew Lisi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Matthew Lisi |
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| Gender : | Male |
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Business Address:
Matthew Lisi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1001 Blythe Blvd, Suite 200d
Charlotte, NC, 28203-5866
United States |
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| Phone Number : | 704-373-1813 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871736157 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Apr, 2009 |
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| Last Updated On : | 08 Nov, 2018 |
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Medicare Participation:
Matthew Lisi participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0749576478 |
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| Medicare Enrollment ID : | I20160907001017 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Maryland School Of Medicine |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Matthew Lisi accepts medicare insurance. |
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Group Practice Association:
Matthew Lisi is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Matthew Lisi is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Wake Forest University Health Sciences | 4486564952 | 1942 | Medical Ctr Blvd
Winston Salem, NC - 271570001
Ph: 3367162734 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Lisi are as mentioned. Primary taxonomy code for Matthew Lisi is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 2016-01243 | NC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1001 Blythe Blvd
Charlotte, NC, 28203-5866
United States |
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Business Location:
Patients can refer following map for directions to
Matthew Lisi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.