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DR. CORNELIA SELMA DE RIESE MD PHD MBA NPI 1841280716


NPI Information

NPI: 1841280716
Provider Name: DR. CORNELIA SELMA DE RIESE, MD, PHD, MBA
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

Address:
701 W 5TH ST
ODESSA, TX
ZIP 79763
Phone: (432) 335-2222
Get Directions

DR. Cornelia Selma De Riese, MD, PHD, MBA is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Odessa, TX with 45 years of experience. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Cornelia Selma De Riese, MD, PHD, MBA NPI is 1841280716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 W 5TH ST
ODESSA, TX
ZIP 79763-206
Phone: (432) 335-2222
Fax: (432) 335-1009

The NPI 1841280716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 4/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyL6348TEXASNo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryL6348TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100048670AMEDICAIDOKLAHOMA
280833ZOTHERTEXASHMO BLUE
383G037OTHERTEXASBC/BS
484497OTHERNEW MEXICOPRESBYTERIAN COMMERCIAL
5A117OTHERNEW MEXICOTRIWEST
6103816803MEDICAIDTEXAS
784497MEDICAIDNEW MEXICO
8000K5175MEDICAIDNEW MEXICO
9103816802MEDICAIDTEXAS
10111572101OTHERTEXASFIRSTCARE COMMERCIAL
11111572100MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.