DR. JONATHAN LEONARD LISS (NPI# 1386613743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386613743 |
Entity Type | Individual |
Full Name | DR. JONATHAN LEONARD LISS |
Credential | M.D. |
Practice Address |
7196 N Lake Dr Suite A Columbus GA 31909-1693 |
Mailing Address |
Po Box 160 Fortson GA 31808-0160 |
Practice Telephone | 7063274000 |
Practice Fax Number | 7063242557 |
Mailing Telephone | 7063274000 |
Mailing Fax Number | 7063242557 |
Enumeration Date | 2006-03-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
039850 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00651934B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841440062 | Jonathan Martin Liss | Psychologist | 1133 Broadway, Suite 721, New York, NY 10010-7903 | 2008-09-24 |
1902838147 | Jonathan Liss | Pediatrics | 1001 S George St, York, PA 17405 | 2006-07-07 |
Street Address |
7196 N LAKE DR SUITE A |
City | COLUMBUS |
State | GA |
Zip Code | 31909-1693 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083171607 | Columbus Memory Center, PC | Psychiatry & Neurology | 7196 N Lake Dr, Columbus, GA 31909-1693 | 2019-03-01 |
1053597088 | Jonathan L. Liss, Md, Neurology, PC | Psychiatry & Neurology | 7196 N Lake Dr, Suite A, Columbus, GA 31909-1693 | 2008-01-22 |
1699717199 | Geriatrics & Family Medicine Center of Columbus, P. C. | Clinic/Center | 7196 N Lake Dr, Suite B, Columbus, GA 31909-1693 | 2006-06-11 |
1548215163 | Jibike Joy Adegbile | Family Medicine | 7196 N Lake Dr, Suite B, Columbus, GA 31909-1693 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
Find all providers in zip 31909 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
1780946731 | Samantha Jo Lorusso | Psychiatry & Neurology | 543 Taylor Ave Ste 1100, Columbus, OH 43203-1278 | 2012-06-14 |
1184930133 | Appaji Rayi | Psychiatry & Neurology | 395 W 12th Ave Fl 7, Columbus, OH 43210 | 2010-08-27 |
1760641740 | Aaron Lee Boster | Psychiatry & Neurology | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2008-06-05 |
1740489566 | Neurological Associates, Inc. | Psychiatry & Neurology | 974 Bethel Rd Ste C, Columbus, OH 43214-2467 | 2007-07-12 |
1649488586 | Shuang Chen | Psychiatry & Neurology | 4551 Lanercost Way, Columbus, OH 43220-2916 | 2007-05-21 |
1538222609 | George Wesley Paulson | Psychiatry & Neurology | 3957 Lytham Ct, Columbus, OH 43220-4848 | 2006-12-19 |
1740355486 | Brien John Smith | Psychiatry & Neurology | 3555 Olentangy River Rd Ste 2002, Columbus, OH 43214 | 2006-11-21 |
1144304064 | Maria Kataki | Psychiatry & Neurology | 2050 Kenny Rd Fl 3, Columbus, OH 43221-3502 | 2006-10-25 |
1205910502 | Douglas W. Scharre | Psychiatry & Neurology | 2050 Kenny Rd Fl 7, Columbus, OH 43221-3502 | 2006-10-24 |
Find all providers in COLUMBUS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.