THEODORE N. ISSEKS, M.D., P.C. (NPI# 1215206628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215206628 |
| Entity Type | Organization |
| Organization Name | THEODORE N. ISSEKS, M.D., P.C. |
| Other Organization Name | THEODORE N. ISSEKS, M.D. , P.C. |
| Practice Address |
5518 State Route 55 Liberty NY 12754-2830 |
| Practice Telephone | 8452923011 |
| Practice Fax Number | 8452921821 |
| Mailing Telephone | 8452923011 |
| Mailing Fax Number | 8452921821 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | DR. THEODORE NATHAN ISSEKS (OWNER/M.D.) |
| Authorized Official Telephone | 8452923011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 117110-1 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Theodore N. Isseks, M.D. , P.C. | Other Name - Individual/Organization |
| Street Address |
5518 STATE ROUTE 55 |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423448 | Theodore N Isseks | Ophthalmology | 5518 State Route 55, Liberty, NY 12754 | 2005-08-09 |
| 1720255060 | Theodore N Isseks Md PC | Ophthalmology | 5518 State Route 55, Liberty, NY 12754 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073616660 | Kathryn A Hembree | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2006-09-07 |
| 1164423448 | Theodore N Isseks | Ophthalmology | 5518 State Route 55, Liberty, NY 12754 | 2005-08-09 |
| 1417390584 | Christy Marie Harvey | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2013-04-09 |
| 1639437627 | Brett Mcknight | Ophthalmology | 515 N State Route 291, Liberty, MO 64068-1045 | 2012-04-26 |
| 1639481492 | Dustin Mcknight | Ophthalmology | 515 N State Route 291, Liberty, MO 64068 | 2010-07-09 |
| 1720255060 | Theodore N Isseks Md PC | Ophthalmology | 5518 State Route 55, Liberty, NY 12754 | 2008-05-15 |
| 1912199159 | Audrey Deanne Blacklock | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2007-08-13 |
| 1518054196 | Northland Eye Specialists PC | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2006-10-06 |
| 1861595464 | Susan M Carney | Ophthalmology | 1200 Landmark Ave, Liberty, MO 64068-1051 | 2006-09-07 |
| 1164458998 | Scott J Mcknight | Ophthalmology | 515 N State Route 291, Liberty, MO 64068-1045 | 2006-06-23 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.