Marc Tissot, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

Q2626 Issued in TX

Practice address

2002 Holcombe Blvd # 145
Michael E Debakey VA Medical Center
Houston, TX 77030-4211

Phone

(713) 791-1414

Fax

(713) 794-7674

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nassau Anesthesia Associates PC

  • Anesthesiology Physician
  • Mineola, NY
  • NPI 1578961645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1215909775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD # 145",
            "address_2": "MICHAEL E DEBAKEY VA MEDICAL CENTER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "713-791-1414",
            "fax_number": "713-794-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD # 145",
            "address_2": "MICHAEL E DEBAKEY VA MEDICAL CENTER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "713-791-1414",
            "fax_number": "713-794-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSOT",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaishali Tirumalaraju, MD
• Soujanya Tirupati, MD
• Tis-Therapeutic Intervention Services
• Flora Jean Tisdale
• Brian Edward Tison, M.D.
• Camden Michael Tissue, M.D.
• Edwin Sama Tita, PHARMACIST
• Tanwie P Tita, PA-C
• Clinton Jay Titone
• Daniel Ross Tittle

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.