Jared Michael Liston, M.D.

Plastic Surgery Physician · Charlottesville, VA

Individual Active NPI

NPI number 1932630019

Practice location

1215 Lee St
Box #800376
Charlottesville, VA 22908-0816
Phone
(434) 924-5078
Fax
(434) 924-8118

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NPI record

NPI
1932630019
Entity type
Individual (Type 1)
Enumeration date
March 21, 2017
Last updated
July 23, 2024
Certified
July 23, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X 0101280287 VA

About Dr. Liston

Jared Michael Liston, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 1215 Lee St, Box #800376, Charlottesville, VA 22908-0816. The NPI number 1932630019 was assigned on March 21, 2017 and the record was last updated on July 23, 2024.

Dr. Liston lists a license in the registry: #0101280287 (VA) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared Michael Liston, M.D.?

The NPI number is 1932630019.

What is the phone number of Dr. Liston?

The phone number listed for the practice location is (434) 924-5078.

Where is Dr. Liston located?

1215 Lee St, Box #800376, Charlottesville, VA 22908-0816.

What is the taxonomy code for Dr. Liston?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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