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James G Liesen, DO

Pediatrics Physician in Bolivar, MO · enumerated 2005 · practices at Citizens Memorial Healthcare.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003815291

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Registry record

Entity type Individual (Type 1)
Name James G Liesen
Credential DO
Sex Male
Practice address 1195 N Oakland Ave, Suite 2, Bolivar, MO, 65613
Fax (417) 777-2854
Enumeration date Jul 19, 2005
Last updated in NPPES Feb 23, 2017

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2101 (WV) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2008032320 (MO) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
3810002037 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does James Liesen practice?
The practice location on file with NPPES is in Bolivar, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for James Liesen?
The National Provider Identifier (NPI) for James Liesen is 1003815291, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-23.