MARK LIESER (NPI# 1699835504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699835504 |
| Entity Type | Individual |
| Full Name | MARK LIESER |
| Credential | MD |
| Practice Address |
540 W 5th St 350 Odessa TX 79761-5034 |
| Mailing Address |
600 Toronto Ave Apt 18 Mcallen TX 78503-3071 |
| Practice Telephone | 4323327500 |
| Practice Fax Number | 4323327503 |
| Mailing Telephone | 9566877151 |
| Mailing Fax Number | 9566688346 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
K5142 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD | P00326685 | 01 |
| TX | 118656105 | 05 | |
| TX | BCBS | 8S4850 | 01 |
| Street Address |
540 W 5TH ST 350 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608964 | Donald D Davenport Jr. | Surgery | 540 W 5th St, Ste 470, Odessa, TX 79761-5070 | 2005-06-08 |
| 1336756030 | Veronica Garcia | Nurse Practitioner | 540 W 5th St, Odessa, TX 79761-5034 | 2020-09-26 |
| 1407390180 | Odessa Surgical Services, Pllc | Clinic/Center | 540 W 5th St, Suite 470, Odessa, TX 79761-5034 | 2016-12-14 |
| 1306296538 | Josue Raygosa | Pharmacist | 540 W 5th St, Odessa, TX 79761-5034 | 2016-06-19 |
| 1700241635 | Brandon Barnes | Pharmacist | 540 W 5th St, Suite 100, Odessa, TX 79761-5034 | 2015-12-18 |
| 1780008532 | H-e-b, Lp | Clinical Medical Laboratory | 540 W 5th St, Odessa, TX 79761 | 2014-02-14 |
| 1013269190 | Audiology Consultants, Inc. | Audiologist-Hearing Aid Fitter | 540 W 5th St, Suite 405, Odessa, TX 79761-5034 | 2012-10-12 |
| 1891083689 | Raphael Ezera Nwojo | Otolaryngology | 540 W 5th St, Suite 410, Odessa, TX 79761-5034 | 2011-07-14 |
| 1568608198 | Ashutosh Gupta | Internal Medicine | 540 W 5th St, Suite 300, Odessa, TX 79761-5034 | 2009-01-03 |
| 1922254572 | Acute Orthopedic Care Specialists Pllc | Surgery | 540 W 5th St, Suite 350, Odessa, TX 79761-5034 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
| 1487164604 | Urgent Specialty Associates Pllc | Surgery | 4100 Spring Valley Rd Ste 250, Farmers Branch, TX 75244-3645 | 2017-10-02 |
| 1578969788 | Advanced Fracture Care Solutions Pllc | Surgery | 2145 Sutton Pl, Plano, TX 75093-4323 | 2014-11-16 |
| 1952737371 | Ernest A Gonzalez Md Pa | Surgery | 12319 N Mopac Expy Ste 350, Austin, TX 78758-2512 | 2013-09-17 |
| 1831393735 | Alexander Laurance Eastman | Surgery | 5323 Harry Hines Blvd # Mc9158, Department of Surgery--btcc, Dallas, TX 75390-9158 | 2007-06-13 |
| 1669592242 | Surgical Consultants Pa | Surgery | 6210 Wooldridge Rd Ste A, Corpus Christi, TX 78414-2528 | 2007-03-29 |
| 1144240508 | Ted R. Smith | Surgery | 50 Hillcrest Medical Blvd Ste 105, Waco, TX 76712-8953 | 2006-07-20 |
| 1750310520 | Matthew A Lovitt | Surgery | 2710 Swiss Avenue, Dallas, TX 75204-5900 | 2006-07-02 |
| 1730115270 | Jimie Dianne Owsley | Surgery | 810 Morgan Ave Apt 1, Corpus Christi, TX 78404-2058 | 2006-06-25 |
| 1578500815 | Advanced Laparoendoscopic Surgery, Pllc | Surgery | 3005 West Loop S, Suite 225, Houston, TX 77027-6100 | 2006-06-02 |
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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.