Mary Ann Piskun, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

K0156 Issued in TX

Practice address

1801 Halstead St
Suite B
Amarillo, TX 79106-1830

Phone

(806) 358-8731

Fax

(806) 358-8837

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Texas Tech University Health Science Center School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Ross Gunter MD IncGroup PAC ID 0042108326, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jeffrey Ross Gunter MD Inc

  • Dermatology Physician
  • Lancaster, CA
  • NPI 1053476465

  TX

  Medicare reassignment Care Compare group NPD
• Kathryn McNeil MD, PA

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1649978560
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1679680839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 QUAIL CREEK DR",
            "address_2": "UNIT B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241637",
            "telephone_number": "806-358-8731",
            "fax_number": "806-358-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HALSTEAD ST",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061830",
            "telephone_number": "806-358-8731",
            "fax_number": "806-358-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKUN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K0156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0090EJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE/SWLH",
            "identifier": "121567100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240006650",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096447001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Scott Pillsbury, NP
• Brittany Pingel, APRN, FNP-C
• Callie Grace Pinkerton, PT, DPT
• Robert L Pinkston, MD
• Wade Harley Pinson III, M.D.
• Timothy Bruce Pistocco, M.D.
• Gabriela Pita
• Amy Pitman, M.S., CFY-SLP
• Kimberly Pitney
• Abigail Edith Pitt, AGNP-C

• Plastic Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.