GLEN R. LIESEGANG M. D. – NPI #1174584866
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
GLEN LIESEGANG is a physician located in PATTERSON, NC. NPPES has assigned the NPI number 1174584866 to GLEN LIESEGANG on March 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 14 years ago on Jun 18, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLEN LIESEGANG below.
NPI Profile for
GLEN R. LIESEGANG
(more than 20 years ago)
PATTERSON, NC 28661 Phone: (828) 754-6850 Fax: (828) 758-3214
PATTERSON, NC 28661-0319 Phone: (828) 754-6850 Fax: (828) 758-3214
Identifiers for GLEN LIESEGANG
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | NC | 51919 |
| MEDICAID | NC | 8951919 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
NC | 31569 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
GLEN LIESEGANG is affiliated with the following medical group(s):
- HOSPITAL
- CALDWELL MEMORIAL HOSPITAL321 MULBERRY ST SW
LENOIR, NC 28645 - WATAUGA MEDICAL CENTER336 DEERFIELD ROAD
BOONE, NC 28607
- CALDWELL MEMORIAL HOSPITAL321 MULBERRY ST SW
- HOME HEALTH AGENCY
- CENTERWELL HOME HEALTH579 GREENWAY ROAD SUITE 103
BOONE, NC 28607 - MEDI HOME HEALTH AND HOSPICE400 SHADOWLINE DRIVE BUILDING 200 SUITE 205
BOONE, NC 28607
- CENTERWELL HOME HEALTH579 GREENWAY ROAD SUITE 103
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