JOSEPH MATTHEW LIECHTY (NPI# 1043416316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043416316 |
| Entity Type | Individual |
| Full Name | JOSEPH MATTHEW LIECHTY |
| Credential | MD |
| Practice Address |
4716 Alliance Blvd Ste 200 Plano TX 75093-5306 |
| Mailing Address |
621 N Hall St Ste 100 Dallas TX 75226-1305 |
| Practice Telephone | 9726659100 |
| Practice Fax Number | 9726654711 |
| Mailing Telephone | 2148219600 |
| Mailing Fax Number | 2148235290 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
46920 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4003 Kresge Way, Surgical Care Associates, Louisville, KY 40207 | 5028975139 |
| Street Address |
4716 ALLIANCE BLVD STE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417215120 | Arash Mohajer Shirvani | Surgery | 4716 Alliance Blvd Ste 200, Plano, TX 75093-5306 | 2012-05-01 |
| 1306045620 | Sylvia Addison | Nurse Practitioner | 4716 Alliance Blvd Ste 200, Plano, TX 75093-5306 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1730450115 | Texas Phlebology Pa | Surgery | 6149 Windhaven Pkwy, Suite 130, Plano, TX 75093-8274 | 2012-01-18 |
| 1578521662 | Ramaswamy Ravi Kumar | Surgery | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2006-05-01 |
| 1003893728 | Jerome G Naifeh | Surgery | 6300 W Parker Rd Ste 420, Plano, TX 75093-8134 | 2005-12-22 |
| 1770107898 | Legacy Vascular Labs of America Pllc | Surgery | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2020-06-04 |
| 1497374730 | Legacy Vascular Labs of America LLC | Surgery | 7711 San Jacinto Pl Ste 200, Plano, TX 75024-3296 | 2020-04-15 |
| 1427682426 | Spine Exposure Associates, Pllc | Surgery | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2020-02-28 |
| 1538703525 | Plano Professional Associates Pllc | Surgery | 5316 W Plano Pkwy, Plano, TX 75093-4821 | 2019-11-01 |
| 1619523214 | Nortex Medical Group | Surgery | 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 | 2019-08-11 |
| 1417215120 | Arash Mohajer Shirvani | Surgery | 4716 Alliance Blvd Ste 200, Plano, TX 75093-5306 | 2012-05-01 |
| Find all providers in PLANO | ||||
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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.