IndividualActive
Larry Lisman
NPI 1376536037 · Anesthesiology Physician · Indianapolis, IN
Provider details
- NPI number
- 1376536037
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01030377 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7430 N Shadeland Ave
Suite 100
Indianapolis, IN 46250-2070
Phone: (317) 596-9804
Street-level locationGet directions
Mailing address
2901 Ohio Blvd
Terre Haute, IN 47803-2239
Registry dates
- Enumerated
- 2005-08-29
- Last updated
- 2010-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.