MARK D D'ALISE (NPI# 1801859723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801859723 |
| Entity Type | Individual |
| Full Name | MARK D D'ALISE |
| Credential | MD |
| Practice Address |
3502 9th St Ste 440 Lubbock TX 79415-3368 |
| Mailing Address |
5219 City Bank Pkwy Ste 35 Lubbock TX 79407-3545 |
| Practice Telephone | 8067610535 |
| Practice Fax Number | 8067610534 |
| Mailing Telephone | 8067610333 |
| Mailing Fax Number | 8067820097 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | J8979 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 335026YKT8 | 01 |
| TX | BCBS | 8FM001 | 01 |
| TX | 125356907 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4408 6th St, Lubbock, TX 794164732 | 8067910399 | 8067910373 |
| Street Address |
3502 9TH ST STE 440 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669894051 | Michelle Carlile | Nurse Practitioner | 3502 9th St Ste 440, Lubbock, TX 79415-3368 | 2014-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528398203 | Joseph Lionel Martinez | Neurological Surgery | 6102 82nd St Ste 9, Lubbock, TX 79424-0802 | 2010-01-02 |
| 1053516310 | Benedicto Cortes Baronia | Neurological Surgery | 3502 9th St Ste 430, Lubbock, TX 79415-3368 | 2007-06-18 |
| 1235202169 | Ross Sedler | Neurological Surgery | 3601 21st, Lubbock, TX 79410-1229 | 2006-11-16 |
| 1750465654 | Usiakimi Igbaseimokumo | Neurological Surgery | 4102 24th St Ste 504, Lubbock, TX 79410 | 2006-10-25 |
| 1609887090 | Lloyd Marshall Garland | Neurological Surgery | 2108 Topeka Ave, Lubbock, TX 79407-2324 | 2006-08-10 |
| 1104866375 | Frank Castillon IIi | Neurological Surgery | 2424 50th Sreet, Ste 100, Lubbock, TX 79412-2549 | 2006-06-07 |
| 1043261597 | Richard E George | Neurological Surgery | 4703 113th St, Lubbock, TX 79424-7374 | 2006-05-12 |
| 1053832527 | Joey Kevin Grochmal | Neurological Surgery | 3502 9th St Ste 430, Lubbock, TX 79415 | 2017-07-05 |
| 1679994586 | Neurosurgery Associates of Lubbock, LLP | Neurological Surgery | 4408 6th St, Lubbock, TX 79416-4732 | 2013-12-18 |
| 1861785925 | Robert Asa Scranton | Neurological Surgery | 4408 6th St, Lubbock, TX 79416-4732 | 2011-05-24 |
| Find all providers in LUBBOCK | ||||
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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.