Dr. Jordan M Lisella is a Albany, New York based male orthopedic surgeon with 23 years of experience in Foot and Ankle Surgery. He completed his graduation from State University Of New York Downstate Medical Center in 2001. He is also affiliated with hospitals like Albany Medical Center Hospital and Saratoga Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jordan M Lisella is 4301087211 for Foot and Ankle Surgery in Michigan.
Dr. Jordan M Lisella deals with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Complete Profile:
Dr. Jordan M Lisella speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Foot and Ankle Surgery
Credentials:
MD
Experience:
23+ years
Medical School Attended:
State University Of New York Downstate Medical Center
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1367 Washington Ave, Suite 200, Albany, New York, 12206-1069
Phone:
518-489-2666
Fax:
518-489-5933
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.
PAC ID:
5698788180
Enrollment ID:
I20070823000249
NPI Number:
1720043946
NPI Enumeration Date:
19 Apr, 2006
NPI Last Update On:
28 Feb, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jordan M Lisella are as mentioned below.
License Number
Specialization
State
Status
4301087211
Foot and Ankle Surgery
Michigan
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Albany Medical Center Hospital (330013)
Albany, NY
Acute Care Hospital
Saratoga Hospital (330222)
Saratoga springs, NY
Acute Care Hospital
Group Practice:
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 Dr. Jordan M Lisella is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Capital Region Orthopaedic Associates, Pc (3779496393)
68
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jordan M Lisella such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02865736
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1367 Washington Ave, Suite 200 Albany, New York
Zip:
12206-1069
Phone Number:
518-489-2666
Fax Number:
518-489-5933
Patients can reach Dr. Jordan M Lisella at 1367 Washington Ave, Suite 200, Albany, New York or can call to book an appointment on 518-489-2666. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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