STEPHEN A LIEBERMAN


Address: 759 Chestnut St, Springfield, MA 01107-1619
Phone: 4137945370

STEPHEN A LIEBERMAN (NPI# 1013011592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013011592
Entity Type Individual
Full Name STEPHEN A LIEBERMAN
Credential MD
Practice Address 759 Chestnut St
Springfield
MA 01107-1619
Mailing Address 280 Chestnut St
2nd Fl
Springfield
MA 01199-1001
Practice Telephone 4137945370
Practice Fax Number 4137949748
Mailing Telephone 4137945700
Mailing Fax Number 4137941629
Enumeration Date 2006-09-12
Last Update Date 2017-12-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
52659 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
759 Chestnut St, Springfield, MA 011071619 4137945370 4137949748

Other Providers STEPHEN LIEBERMAN

NPI Name Taxonomy Address Enumeration
1659658656 Stephen Lieberman Pharmacist 17 N Union Ave, Cranford, NJ 07016-5101 2011-11-04
1144366386 Stephen J Lieberman Dentist 15 New Britain Ave, Unionville, CT 06085-1277 2007-01-29
1841306925 Stephen Farrell Lieberman Urology 10100 Se Sunnyside Rd, Mt Talbert Medical Office, Clackamas, OR 97015-8970 2006-08-22

Office Location

Street Address 759 CHESTNUT ST
City SPRINGFIELD
State MA
Zip Code 01107-1619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578569828 Diane L Dietzen Internal Medicine 759 Chestnut St, Springfield, MA 01199-1619 2005-06-22
1689274987 Michele Lee Houghton Registered Nurse 759 Chestnut St, Springfield, MA 01199-1001 2020-10-27
1922612621 Justine Trowbridge Physician Assistant 759 Chestnut St, Springfield, MA 01199-2225 2020-09-01
1316550221 Vi Thuy Do Registered Nurse 759 Chestnut St, Springfield, MA 01199-1001 2020-08-29
1689282519 Anum Fatima Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-07-16
1033737432 Subahana Aboobucker Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-07-12
1083232003 Yunika Burgos Depalma Physician Assistant 759 Chestnut St, Springfield, MA 01199-0001 2020-07-07
1437774858 Yelisei Murauski Physician Assistant 759 Chestnut St, Springfield, MA 01107-1619 2020-06-11
1073138517 Zaid Obaida Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-06-10
1265054886 Rachel Christine Schmidt Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740702547 Domingo Nieves Jr. Counselor 2225 Main St., Springfield, MA 01107 2017-07-13
1801318266 Denise Lawson Counselor 2257 Main Street, Springfield, MA 01107 2017-07-07
1568912491 Trina Cysz Nurse Practitioner 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 2016-10-04
1609322262 Toheeb Oladimeji Bakare Counselor 322 Birnie Avenue, Springfield, MA 01107 2016-09-01
1952701161 Jalissa Sostre Counselor 32 Abbe Ave, Springfield, MA 01107 2014-08-26
1659799161 Elizabeth A. Otmaskin Obstetrics & Gynecology 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 2014-04-01
1205268885 Catherine Matejcek Davies Counselor 246 Park Street, Springfield, MA 01107 2013-08-06
1750723268 Jasdeep S. Badwal Allergy & Immunology 2 Medical Center Dr Ste 406, Springfield, MA 01107 2013-07-25
1255691846 Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation 438 Chestnut Street, Springfield, MA 01107 2012-05-17
1205166642 Matthew R Kelley Audiologist 100 Wason, Suite 100, Springfield, MA 01107 2010-01-07
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396144259 Danyal Thaver Pediatrics 1235 E Cherokee St, Springfield, MO 65804-2203 2014-08-17
1669896775 Pallav Bhattarai Pediatrics 759 Chestnut Street, Springfield, MA 01107-1619 2014-02-10
1124223029 Kimberly Lynn Marohn Pediatrics 759 Chestnut St, Springfield, MA 01199-1619 2007-06-19
1578684718 Michael F Canarie Pediatrics 759 Chestnut St, W2810, Springfield, MA 01199-1619 2007-04-03
1497898118 Dean R Rising Pediatrics 1235 E Cherokee St, Springfield, MO 65804-2203 2007-02-14
1336228808 Kathleen M Ventre Pediatrics 759 Chestnut St, W2810, Springfield, MA 01199-1619 2006-11-03
1336243823 Christine A Mckiernan Pediatrics 759 Chestnut St, Springfield, MA 01107-1619 2006-09-12
1932182656 Dr Gurpreet S Mander Pediatrics 415 N 9th St, Springfield, IL 62702-5317 2005-11-28
1780677732 Diane C Lipscomb Pediatrics 1235 E Cherokee St, Springfield, MO 65804-2203 2005-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326699935 Colin Meyer-macaulay Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2019-09-25
1902303480 Haley Devries Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2018-04-10
1194272013 Cheuk Chung Au Pediatrics 300 Longwood Ave, Bader 634, Boston, MA 02115-5724 2016-09-08
1215378435 Peta-maree Ann Alexander Pediatrics Boston Children's Hospital, 300 Longwood Avenue, Cardiology Department, Boston, MA 02115 2013-07-16
1013352277 Sarah Elyse Hendrickson Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2013-05-01
1285995589 Amanda C. Johnson Pediatrics 55 Lake Ave N, Worcester, MA 01655-0002 2012-06-04
1841556305 Jane Whitney Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2012-04-09
1891061768 Jennifer Ann Blumenthal Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2012-03-26
1679848782 Daniel Hames Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2012-03-22
1912297045 Ben D Albert Pediatrics 300 Longwood Ave, Bader 634 - Critical Care Medicine, Boston, MA 02115-5724 2011-04-11
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Competitor

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City SPRINGFIELD
Zip Code 01107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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