Mark Dy Liacco (NPI# 1366488850, PAC ID# 5092613265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1366488850 |
| PAC ID by PECOS | 5092613265 |
| Professional Enrollment ID | I20170508000013 |
| Full Name | Mark Dy Liacco |
| Organization Legal Name | EAST CAROLINA UNIVERSITY |
| Address |
517 Moye Blvd Greenville NC 27834-2849 |
| Phone Number | 2527443109 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1992 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 0244143246 |
| Number of Group Practice Members | 343 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340040 | VIDANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 517 Moye Blvd, Greenville, NC 27834-2849 | 2527443109 | EAST CAROLINA UNIVERSITY |
| Organization Legal Name | EAST CAROLINA UNIVERSITY |
| Physicians | 415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean C Vidulich | Family Medicine | East Carolina University | 101 Heart Dr, Greenville, NC 27834-8982 |
| Mack D Drake | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Liliana M Gomez Mendez | Pediatric Medicine | East Carolina University | 2150 Herbert Ct, Greenville, NC 27834-3736 |
| Sivakumar Ardhanari | Cardiovascular Disease (cardiology) | East Carolina University | 115 Heart Dr, Greenville, NC 27834-8982 |
| Hannah Florida | Physical Medicine and Rehabilitation | East Carolina University | 604 Medical Dr, Greenville, NC 27834-7503 |
| Jessica L Danison | Neurology | East Carolina University | 2280 Hemby Ln, Greenville, NC 27834-3773 |
| Audie C Florida | Family Medicine | East Carolina University | 1204 E Fire Tower Rd, Greenville, NC 27858-4196 |
| Rabindra Ghimire | Infectious Disease | East Carolina University | 6 A Doctors Park, Greenville, NC 27834-2801 |
| Samantha K Brown Cunningham | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Greeshma Sheri | Internal Medicine | East Carolina University | 1161 N Rd St, Elizabeth City, NC 27909-3388 |
| Street Address |
517 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip | 27834-2849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mack D Drake | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Kenji L Leonard | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Christian Mann | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Michael V Parmley | Critical Care (intensivists) | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Stephanie Elizabeth Scott | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Tomar Reisler | Plastic and Reconstructive Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Michelle Richardson Brownstein | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Nicole M Garcia | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Michelle J Brice | Clinical Social Worker | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Eric J Demaria | General Surgery | East Carolina University | 517 Moye Blvd, Greenville, NC 27834-2849 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn Yn Knuckles | Obstetrics/gynecology | Carolina Clinic for Health and Wellness Pa | 2317 A Executive Park Cir, Greenville, NC 27834 |
| Sandra Bunch Walton | Clinical Nurse Specialist | 1990 Allen Rd B, Greenville, NC 27834-0058 | |
| Joseph L Murad | Obstetrics/gynecology | 1730 W 5th St, Greenville, NC 27834-1602 | |
| Samantha K Brown Cunningham | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Purushothaman Muthukanagaraj | Psychiatry | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Robert E Delozier Iii | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Richelle L Smallwood | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Ashley J Britton | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Sugaree G Ganzman | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Monica H Raynor | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Find all physicians in zip 27834 | |||
| City | GREENVILLE |
| Zip Code | 27834 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GREENVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mark Dy Liacco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.