DR. MICHAEL J DICLEMENTE (NPI# 1639160088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639160088 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J DICLEMENTE |
| Credential | M.D. |
| Practice Address |
810 W Highway 71 Marble Falls TX 78654-8602 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 8302018000 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L6357 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 158824-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Avenue F, Bay City, TX 774144117 | 9792452008 | 9792452205 |
| Street Address |
810 W HIGHWAY 71 |
| City | MARBLE FALLS |
| State | TX |
| Zip Code | 78654-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517036 | Jaleesa Casson | Dietitian, Registered | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2019-09-17 |
| 1295397859 | Scott & White Hospital - Marble Falls | Clinic/Center | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2019-07-03 |
| 1164939690 | Lacy Marie Haney | Dietitian, Registered | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2018-01-05 |
| 1417477837 | Lidiore Reignz Acaylar Miranda | Physical Therapist | 810 W Highway 71, Marble Falls, TX 78654 | 2017-06-27 |
| 1568997773 | Deep J. Patel | Internal Medicine | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2017-04-25 |
| 1790229607 | Stacy Horton | Registered Nurse | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2016-12-12 |
| 1396138970 | Scott & White Hospital - Marble Falls | General Acute Care Hospital | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2015-03-06 |
| 1619396587 | Michele Luhm | Emergency Medicine | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2014-04-08 |
| 1104255801 | Sara K Browning | Nurse Anesthetist, Certified Registered | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2013-11-04 |
| 1902168818 | Theodore John Mink | Occupational Therapist | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2012-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114581956 | Alicia Rose Hutchison | Audiologist | 810 W Tx 71, Marble Falls, TX 78654 | 2019-04-26 |
| 1386105732 | Sandi Sunny | Physical Therapist | 810 W.state Highway 71, Marble Falls, TX 78654 | 2019-03-28 |
| 1518464536 | Jacob Keup | Audiologist | 304b Highlander Cir, Marble Falls, TX 78654 | 2018-04-06 |
| 1851835458 | Laurence Robert Bower IIi | Physiological Laboratory | 2511 Us Highway 281, Ste 300, Marble Falls, TX 78654 | 2016-12-15 |
| 1366995235 | Tavie Coyle Peters | Nurse Practitioner | 707 3rd Street, Marble Falls, TX 78654 | 2016-07-27 |
| 1184088015 | Mark Dresselhouse | Emergency Medicine | 810 W Tx-71, Marble Falls, TX 78654 | 2016-04-06 |
| 1326413709 | Angela Yvonne Hughes | Occupational Therapist | 810 W. Hwy 71, Marble Falls, TX 78654 | 2015-12-10 |
| 1548671894 | Matthew F Mccarty Md Pllc | Chiropractor | 1710 Highway 1431, Marble Falls, TX 78654 | 2014-05-08 |
| 1538491386 | Jerad M Howell | Chiropractor | 2300 Highway 281 North, Marble Falls, TX 78654 | 2010-02-04 |
| 1801052543 | Logan Hyatt Stanley | Dentist | 800 Esperanza Avenue, Suite A, Marble Falls, TX 78654 | 2008-08-01 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801182415 | Jennifer M Bliss | Obstetrics & Gynecology | 800 W Highway 71, Marble Falls, TX 78654-8606 | 2011-06-22 |
| 1831481043 | Jacqueline Alcala Guy | Obstetrics & Gynecology | 800 W Highway 71, Marble Falls, TX 78654-8606 | 2011-05-05 |
| 1932498391 | Melia Marie Lucero | Obstetrics & Gynecology | 800 W Highway 71, Marble Falls, TX 78654-8606 | 2011-04-06 |
| 1518287986 | Krystal Suzanne Murphy | Obstetrics & Gynecology | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2010-06-08 |
| 1205085446 | David Alan Rojas | Obstetrics & Gynecology | 800 W Highway 71, Marble Falls, TX 78654-8606 | 2008-09-11 |
| 1598892309 | Robert R Anthony | Obstetrics & Gynecology | 800 W Highway 71, Marble Falls, TX 78654-8606 | 2007-02-28 |
| 1568455004 | Paul A Cook | Obstetrics & Gynecology | 800 W Highway 71, Marble Falls, TX 78654-8602 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677067 | Rodriguez Health, LLC | Obstetrics & Gynecology | 107 N Smith St Ste B, Pleasanton, TX 78064-4109 | 2020-10-17 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1659994069 | Carolina A Andrade | Obstetrics & Gynecology | 945 S Mesa Hills Dr Apt 3515, El Paso, TX 79912-5157 | 2020-05-20 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1952933913 | Gilbert G Sayegh Md, Pa | Obstetrics & Gynecology | 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 | 2020-02-07 |
| 1346880184 | Burke Womens Healthcare Pllc | Obstetrics & Gynecology | 4002 Burke Rd Ste 300, Pasadena, TX 77504-3451 | 2020-01-09 |
| 1386280337 | Women's Pavilion of Greater Houston | Obstetrics & Gynecology | 6051 Garth Rd Ste 700, Baytown, TX 77521-9807 | 2019-11-25 |
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| City | MARBLE FALLS |
| Zip Code | 78654 |
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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.