DR. MARK A LISKA (NPI# 1538191846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538191846 |
| Entity Type | Individual |
| Full Name | DR. MARK A LISKA |
| Other Name | DR. MARK A LISKA |
| Credential | M.D. |
| Practice Address |
37 Edgerton Drive Ste 1 North Falmouth MA 02556 |
| Practice Telephone | 5085632550 |
| Practice Fax Number | 5085632570 |
| Mailing Telephone | 5085632550 |
| Mailing Fax Number | 5085632570 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 75627 | MA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
75627 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3095479 | 05 | |
| MA | HARVARD PILGRIM | 4190 | 01 |
| MA | TUFTS | 725035 | 01 |
| Street Address |
37 EDGERTON DRIVE STE 1 |
| City | NORTH FALMOUTH |
| State | MA |
| Zip Code | 02556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
| 1750413647 | Susan W Baur | Psychologist | 82 County Road, North Falmouth, MA 02556 | 2007-03-09 |
| 1952465866 | Maria T Batilo | Internal Medicine | 37 Edgerton Dr. Unit #3, North Falmouth, MA 02556 | 2006-12-22 |
| 1194815597 | Karen Smith Rohrberg | Nurse Practitioner | 107 County Rd, N Falmouth, MA 02556 | 2006-10-14 |
| 1942306766 | William Work Jr. | Optometrist | 634 Route 28a, No Falmouth, MA 02556 | 2006-09-16 |
| 1407806888 | Nancy K Barnett | Dermatology | 37 Edgerton Dr, Ste 1, North Falmouth, MA 02556 | 2006-05-10 |
| 1275599805 | Robert R Moore | Internal Medicine | 4 Edgerton Dr, North Falmouth, MA 02556 | 2006-04-22 |
| 1568857118 | Revert LLC | Clinic/Center | 634 N Falmouth Hwy Unit 10, North Falmouth, MA 02556 | 2015-03-31 |
| 1043474018 | James Boyd Vereen | Family Medicine | 33 Edgerton Dr, North Falmouth, MA 02556 | 2008-07-17 |
| 1184836405 | Audrey J Tobin | Nurse Practitioner | 4 Edgerton Dr, N Falmouth, MA 02556 | 2007-05-07 |
| Find all providers in zip 02556 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407806888 | Nancy K Barnett | Dermatology | 37 Edgerton Dr, Ste 1, North Falmouth, MA 02556 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FALMOUTH |
| Zip Code | 02556 |
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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.