DR. JEFFREY LISS D.P.M.
NPI 1154337012
Podiatrist - Foot & Ankle Surgery in Fort Lauderdale, FL
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
About JEFFREY LISS
This page provides the complete NPI Profile along with additional information for Jeffrey Liss, a provider established in Fort Lauderdale, Florida with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1154337012 assigned on July 2006. The practitioner's primary taxonomy code is 213ES0103X with license number PO1197 (FL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1154337012 Verify this NPI
- Provider Name
- DR. JEFFREY LISS D.P.M.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 211 SE 12TH AVE FORT LAUDERDALE, FL 33301
- Location Phone
- (954) 462-4322
- Location Fax
- (954) 467-3338
- Mailing Address
- 211 SE 12TH AVE FORT LAUDERDALE, FL 33301
- Mailing Phone
- (954) 462-4322
- Mailing Fax
- (954) 467-3338
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-31-2006
- Last Update Date
- 07-29-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- PO1197
- License State
- FL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213ES0000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | PO1197 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87640 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 029616300 | MEDICAID (05) | FL | |
| T55484 | MEDICARE UPIN (02) | FL |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154337012, enumerated as an "individual" on July 31, 2006.
The provider is located at 211 SE 12TH AVE FORT LAUDERDALE, FL 33301 and the phone number is (954) 462-4322.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.