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

Ellen Segal Lisman, PA-C

Individual provider Medical Physician Assistant · NPI 1366482531

Ellen Segal Lisman, PA-C is a Medical Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2701 Holme Ave Ste 203
Philadelphia, PA 19152-2029
Phone: (215) 331-0515
Fax: (215) 331-8144
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MA003319L (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA003319L (PA)

Record details

NPI number1366482531
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESNovember 3, 2010

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