Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gregory Ian Lisse

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821431230

Dr. Gregory Ian Lisse is a General Surgery in Anchorage, Alaska. Graduated from University of Arizona College of Medicine - Phoenix in 2013, 13 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
13
Trained at
University of Arizona College of Medicine - Phoenix
Licensed in
AK
In the registry since
2013
Specialties on file
2

Practice location Address checks out

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone: (907) 563-2662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 Seneca St, Seattle, WA 98101-2742 — (206) 583-6079

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 147767 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821431230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2013
Last updated in NPPESSeptember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated 2013 (13 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Anchorage