Bozenna M Liszka, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101053961 Issued in VA

Practice address

40 Wiley Drive
Ferrum, VA 24088

Phone

(540) 365-4469

Fax

(540) 365-4272

NPI assigned

Jan 4, 2006

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Female

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

Practice roles

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

• Central Piedmont Health Services, Inc

  • Primary Care Clinic/Center
  • Axton, VA
  • NPI 1215915665
  NPD (past)
• Danville Regional Medical Center, LLC

  dba SOVAH Health Martinsville

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1225208705
  NPD (past)
• Piedmont Access to Health Services Inc

  dba Health Center of Piedmont Danville

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1578696910
  NPD (past)
• Piedmont Access to Health Services, Inc

  dba PATHS Community Medical Center Danville Riverside

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1114630662
  NPD (past)
• Sandy River Family Care Inc

  • Family Medicine Physician
  • Axton, VA
  • NPI 1932354222
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1982682571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-1200",
            "fax_number": "276-398-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WILEY DRIVE",
            "city": "FERRUM",
            "state": "VA",
            "postal_code": "24088",
            "telephone_number": "540-365-4469",
            "fax_number": "540-365-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISZKA",
        "first_name": "BOZENNA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101053961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00294696",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferrum College (Ferrum College Sports Medicine)
• Martha Haley-Bowling
• April N Hazelwood, P.A.
• Sarah Nicole Hendrix, MS, LAT, ATC
• Cynthia Denise Hernandez, MSW
• Michaela Marie Maggard, APRN, PMHNP
• Denise Marie, LCPC, ATR-BC,NBC-HWC
• Connie Markham
• Jessica McGrath
• Shannon Summers Moore, MS, RD

• Family Medicine Physician in Ferrum, VA
• Providers in Ferrum, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.