LIEZL G. IRISARI (NPI# 1851327001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851327001 |
| Entity Type | Individual |
| Full Name | LIEZL G. IRISARI |
| Credential | M.D. |
| Practice Address |
11107 Racetrack Rd Berlin MD 21811-3279 |
| Mailing Address |
10026 Old Ocean City Blvd Building #1 Berlin MD 21811-1288 |
| Practice Telephone | 4102089761 |
| Practice Fax Number | 4102089764 |
| Mailing Telephone | 4106419450 |
| Mailing Fax Number | 4106419515 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 230999 | MA | Allopathic & Osteopathic Physicians |
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
230999 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110076111A | 05 |
| Street Address |
11107 RACETRACK RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043427081 | Danielle J Orr | Family Medicine | 11107 Racetrack Rd, Berlin, MD 21811-3279 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1477829968 | John Robert Bower | Obstetrics & Gynecology | 31 N Pintail Dr, Berlin, MD 21811-1736 | 2012-03-28 |
| 1376559500 | Christine Neto | Obstetrics & Gynecology | 1107 Racetrack Road, Berlin, MD 21811 | 2006-07-31 |
| 1225051766 | Stephen J Woodruff | Obstetrics & Gynecology | 22 Eastview Lane, Berlin, VT 05641-5317 | 2006-07-25 |
| 1124414271 | Rachel Long | Obstetrics & Gynecology | 130 Fisher Rd Ste 1-4, Berlin, VT 05602-9000 | 2015-04-15 |
| 1477864114 | Priyanka Singh | Obstetrics & Gynecology | 130 Fisher Rd Ste 1-4, Cvmc Women's Health, Berlin, VT 05602-9000 | 2010-06-28 |
| 1396954871 | Julie A Vogel | Obstetrics & Gynecology | 130 Fisher Rd, Suite 1-4, Berlin, VT 05602-9516 | 2007-05-22 |
| 1437200565 | Stephen A Kull | Obstetrics & Gynecology | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2007-01-16 |
| 1194817759 | Krzysztof Plociennik | Obstetrics & Gynecology | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2006-09-29 |
| 1528089307 | Roger E Ehret | Obstetrics & Gynecology | 130 Fisher Rd, Mob-a Suite 1-4, Berlin, VT 05602-9516 | 2006-07-21 |
| 1588685218 | Roger H Knowlton | Obstetrics & Gynecology | 130 Fisher Rd, Mob-a Suite 1-4, Berlin, VT 05602-9516 | 2006-07-21 |
| Find all providers in BERLIN | ||||
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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.