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LISENBY PODIATRY
NPI 1104990415
Podiatrist in Dothan, AL

Active since November 20, 2006
1550 E MAIN ST, DOTHAN, AL 36301(334) 671-1441(334) 671-1688 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisenby Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISENBY PODIATRY (NPI 1104990415) is a healthcare organization registered as a podiatrist in Dothan, Alabama and active in the NPI registry since November 2006. The organization lists Robert Harrison Lisenby, President, as its authorized official.

NPPES Registry Identity

NPI1104990415
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLISENBY PODIATRY
Location Address1550 E MAIN STDothan, AL 36301-3012
Mailing Address1550 E Main StDothan, AL 36301-3012 · (334) 671-1441 · Fax (334) 671-1688
Phone(334) 671-1441
Fax(334) 671-1688
Organization SubpartNo
Authorized OfficialRobert Harrison LisenbyPresident · (334) 671-1441
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 26, 2009
✔ NPI 1104990415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in AL · 144✔ Licensed in GA · 511
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1550 E MAIN ST, Dothan, AL 36301
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Other Identifiers 5

Other74869AL · Bcbs
Medicare UPINT97724
Medicare ID-Type Unspecified000074869
Medicaid000074869AL
Medicare NSC0789540001AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN C MELLEY
Podiatrist
1550 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 671-1441
DR. BRIAN CHRISTOPHER MELLEY D.P.M.
Podiatrist
1550 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 671-1441
SOUTHEAST ALABAMA FOOT CLINIC, P.C.
Podiatrist
1550 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 792-3922
DR. ROBERT H LISENBY JR. DPM
Podiatrist
1550 E MAIN ST
DOTHAN, AL 36301
Houston County (334) 671-1441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisenby Podiatry's NPI number?

The NPI number for Lisenby Podiatry is 1104990415. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Lisenby Podiatry located?

Lisenby Podiatry is located at 1550 E Main St, Dothan, AL 36301. The listed phone number is (334) 671-1441.

What is Lisenby Podiatry's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Lisenby Podiatry was last updated on May 26, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.