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EDWARD J. LIS, JR, DO, PLLC
NPI 1578086146
Orthopaedic Surgery in Fenton, MI

Active since July 25, 2017
17200 SILVER PKWY, FENTON, MI 48430(248) 872-8001(248) 872-8001 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward J. Lis, Jr, Do, Pllc NPPES

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

EDWARD J. LIS, JR, DO, PLLC (NPI 1578086146) is a healthcare organization registered as an orthopaedic surgery in Fenton, Michigan and active in the NPI registry since July 2017. The organization lists Laurel A Wisniewski, Credentialing/coding, as its authorized official.

NPPES Registry Identity

NPI1578086146
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameEDWARD J. LIS, JR, DO, PLLC
Location Address17200 SILVER PKWYFenton, MI 48430-4437
Mailing AddressPo Box 1855Clarkston, MI 48347-1855 · (248) 872-8001 · Fax (248) 673-8079
Phone(248) 872-8001
Fax(248) 872-8001
Organization SubpartNo
Authorized OfficialLaurel A WisniewskiCredentialing/coding · (248) 872-8001
Enumeration DateJuly 25, 2017
✔ NPI 1578086146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 5101014456
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
17200 SILVER PKWY, Fenton, MI 48430
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

MICHIGAN CENTER FOR ORTHOPEDIC SURGERY PLC
Orthopaedic Surgery
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-9660
CHRISTOPHER N HARRISON DO
Family Medicine
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-9660
MELISSA LITTELL PA
Physician Assistant
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-9660
DR. JEFFERY BOSSENBERGER D.O.
Family Medicine
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-9660
PARKWAY FAMILY MEDICINE PLLC
Family Medicine
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-9660
WOMENS OB/GYN AND BLADDER SOLUTIONS CENTER, P.C.
Obstetrics & Gynecology
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-5361
TOTAL IMAGING, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (888) 256-6760
WOMEN'S INTEGRATED HEALTH CARE, P.C.
Obstetrics & Gynecology
17200 SILVER PKWY
FENTON, MI 48430
Genesee County (810) 714-5361

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 Edward J. Lis, Jr, Do, PLLC's NPI number?

The NPI number for Edward J. Lis, Jr, Do, PLLC is 1578086146. It was assigned to this organization in the NPPES registry on July 25, 2017.

Where is Edward J. Lis, Jr, Do, PLLC located?

Edward J. Lis, Jr, Do, PLLC is located at 17200 Silver Pkwy, Fenton, MI 48430. The listed phone number is (248) 872-8001.

What is Edward J. Lis, Jr, Do, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Edward J. Lis, Jr, Do, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edward J. Lis, Jr, Do, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward J. Lis, Jr, Do, PLLC was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.