Organization Active NPI

Mary Ann Piskun, MD, PLLC

  • Plastic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1881911360
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
K0156 Issued in TX
Legal business name
MARY ANN PISKUN, MD, PLLC
Practice address
1801 Halstead St Ste B
Amarillo, TX 79106-1811
Phone
(806) 358-8731
Fax
(806) 358-8837
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mary Ann Piskun, MD
Title
President
Phone
(806) 358-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X K0156 TX Primary

Addresses

Primary practice location

1801 Halstead St Ste B
Amarillo, TX 79106-1811

Mailing address

1801 Halstead St Ste B
Amarillo, TX 79106-1811
Phone (806) 358-8731

National Provider Directory

National Provider Directory

Locations

500 Quail Creek Dr
Unit B
Amarillo, TX 79124
Phone (806) 356-8003

1801 Halstead St
Ste B
Amarillo, TX 79106
Phone (806) 352-2742

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1881911360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HALSTEAD ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061811",
            "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 STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061811",
            "telephone_number": "806-358-8731",
            "fax_number": "806-358-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN PISKUN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "PISKUN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-358-8731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K0156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.