Edward J. Lis, Jr, DO, PLLC
NPI 1578086146 · Orthopaedic Surgery Physician · Fenton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward J. Lis, Jr, DO, PLLC is a Orthopaedic Surgery Physician organization in Fenton, MI (NPI 1578086146).
Provider details
- NPI number
- 1578086146
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laurel Wisniewski, Credentialing/Coding(248) 872-8001
- License
- 5101014456 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2017-07-25
Frequently asked questions
- What is Edward J. Lis, Jr, DO, PLLC's NPI number?
- Edward J. Lis, Jr, DO, PLLC's National Provider Identifier (NPI) is 1578086146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward J. Lis, Jr, DO, PLLC?
- Edward J. Lis, Jr, DO, PLLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Edward J. Lis, Jr, DO, PLLC located?
- Edward J. Lis, Jr, DO, PLLC's practice location on file with NPPES is 17200 Silver Pkwy, Fenton, MI 48430-4437.
- What is Edward J. Lis, Jr, DO, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Edward J. Lis, Jr, DO, PLLC is (248) 872-8001.
- Does Edward J. Lis, Jr, DO, PLLC accept Medicare?
- Edward J. Lis, Jr, DO, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edward J. Lis, Jr, DO, PLLC?
- The authorized official listed on Edward J. Lis, Jr, DO, PLLC's NPPES record is Laurel Wisniewski, Credentialing/Coding. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward J. Lis, Jr, DO, PLLC's NPI active?
- Yes — Edward J. Lis, Jr, DO, PLLC's NPI (1578086146) is active in the NPPES registry as of the last update on 2017-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.