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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
52659 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 759 Chestnut St, Springfield, MA 011071619 | 4137945370 | 4137949748 |
| 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 |
| Street Address |
759 CHESTNUT ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1619 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| 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) |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on STEPHEN A LIEBERMAN.
| 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.