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DR. HARTLEE GRACE JOHNSTON LIDSKY MD, MPH
NPI 1174312748
Student in an Organized Health Care Education/Training Program in Canton, MI

Active since May 01, 2025PECOS Enrolled
1051 N CANTON CENTER RD, CANTON, MI 48187(734) 844-5400 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hartlee Grace Johnston Lidsky Md, Mph NPPES

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

DR. HARTLEE GRACE JOHNSTON LIDSKY MD, MPH (NPI 1174312748) is an individual student in an organized health care education/training program in Canton, Michigan, licensed in Michigan (4351054061) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174312748
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. HARTLEE GRACE JOHNSTON LIDSKYCredential: MD, MPH
Location Address1051 N CANTON CENTER RDCanton, MI 48187-5097
Mailing Address1500 E Medical Center Dr., 3116 Tc, Spc 5368Ann Arbor, MI 48109 · (734) 998-2020
Phone(734) 844-5400
Sole ProprietorNo
Enumeration DateMay 1, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1174312748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351054061
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1051 N CANTON CENTER RD, Canton, MI 48187
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Other Names 1

Former Name (1)Hartlee Grace Johnston

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hartlee Grace Johnston Lidsky Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

GENEVIEVE ALLEN MD
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 844-5400
GAVRIELLE ROOD
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 647-5670
KATHERINE ELIZABETH CHAMBERS MD
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 539-5080
CAROLINE STROMBERG
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 647-1774
ALISSA ANASTASIO DO
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 844-5400
STANA NICKOLICH MD
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 647-5670
NATHAN BATRES MD
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 998-2020
CULLEN DURKIN FARRAGHER DO
Student in an Organized Health Care Education/Training Program
1051 N CANTON CENTER RD
CANTON, MI 48187
Wayne County (734) 539-5080

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 Hartlee Lidsky's NPI number?

The NPI number for Hartlee Lidsky is 1174312748. It was assigned to this individual provider in the NPPES registry on May 1, 2025. The provider is also known as Hartlee Grace Johnston.

Where is Hartlee Lidsky located?

Hartlee Lidsky practices at 1051 N Canton Center Rd, Canton, MI 48187. The listed phone number is (734) 844-5400.

What is Hartlee Lidsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hartlee Lidsky enrolled in Medicare?

Yes. Hartlee Lidsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hartlee Lidsky was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.