DR. DAVID ALBERT LIEBELT


Address: 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667
Phone: 2626875800

DR. DAVID ALBERT LIEBELT (NPI# 1205132321) 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) 1205132321
Entity Type Individual
Full Name DR. DAVID ALBERT LIEBELT
Credential M.D., PH.D.
Practice Address 3811 Spring St
Suite 102
Mount Pleasant
WI 53405-1667
Practice Telephone 2626875800
Mailing Telephone 2626875800
Enumeration Date 2011-02-07
Last Update Date 2016-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 66283 WI Allopathic & Osteopathic Physicians
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
66283 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201236820 05

Office Location

Street Address 3811 SPRING ST
SUITE 102
City MOUNT PLEASANT
State WI
Zip Code 53405-1667

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821634056 Joseph Thomas Johnson Physical Therapist 3811 Spring St, Mount Pleasant, WI 53405-1667 2019-11-22
1821634486 Carl Antony Specialist/Technologist 3811 Spring St, Mount Pleasant, WI 53405-1667 2019-11-19
1255974358 Tina M L Botsford Nurse Practitioner 3811 Spring St, Mount Pleasant, WI 53405-1667 2019-10-21
1376107433 Bridget A Sorenson Specialist/Technologist 3811 Spring St, Mount Pleasant, WI 53405-1667 2019-04-24
1376921155 David Karbulka Pharmacist 3811 Spring St, Mount Pleasant, WI 53405-1667 2015-05-12
1992050579 Jacqueline M Hunt Physician Assistant 3811 Spring St, Suite 201, Mount Pleasant, WI 53405-1667 2012-07-19
1629367776 Jacob Steven Clearfield Physical Medicine & Rehabilitation 3811 Spring St, Mount Pleasant, WI 53405-1667 2011-03-29
1003112947 Brian Thomas Zafonte Orthopaedic Surgery 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 2011-02-09
1811153158 David R Ross Orthopaedic Surgery 3811 Spring St, Mount Pleasant, WI 53405 2008-08-06
1366535585 Ascension All Saints Hospital, Inc Pharmacy 3811 Spring St, Mount Pleasant, WI 53405-1667 2006-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609407923 Anita Kathy Nykaza Dietitian, Registered 3805 A Suite 311, Racine, WI 53405 2020-01-27
1023666062 Shawn L Drulia Physician Assistant 3805 Spring St #320, Racine, WI 53405 2019-09-03
1235627720 Oxygen One, Inc. Durable Medical Equipment & Medical Supplies 3805a Spring Street, Suite 210, Racine, WI 53405 2018-04-30
1356838650 Melissa Metzger Psychologist 2340 Mohr Ave, Racine, WI 53405 2018-04-23
1689029217 Melissa Ileen Swainston Nurse Practitioner 3803 Spring St., Suite Number 410, Racine, WI 53405 2016-05-02
1215305487 Denetta Lauraelaine Flowers Licensed Practical Nurse 4311 Durand Ave., #104, Mt.pleasant, WI 53405 2015-09-04
1841675204 Colleen Koderca Registered Nurse 3317-meachem Rd, Racine, WI 53405 2015-07-28
1790102986 Georges Wakim Specialist/Technologist 3811 Spring St., Suite 102, Racine, WI 53405 2014-03-25
1982021176 Matthew F Patzke Specialist/Technologist 3811 Spring Street Suite 102, Racine, WI 53405 2014-03-25
1073930269 Jessica Geisler Specialist/Technologist 3811 Spring Street Suite #102, Racine, WI 53405 2014-03-25
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053385104 Rusty Christopher Brand Orthopaedic Surgery 1400 Bellinger Street, Eau Claire, WI 54702-1510 2006-02-15
1831194448 Blount Orthopaedic Associates, S.c. Orthopaedic Surgery 525 W. River Woods Parkway, Suite 100, Glendale, WI 53212-1010 2005-06-20
1013279082 Adam Isaac Edelstein Orthopaedic Surgery 9200 W Wisconsin Ave, Milwaukee, WI 53226 2012-06-14
1508938606 Blount Orthopaedic Associates, S.c. Orthopaedic Surgery N54w6135 Mill St, Suite 200, Cedarburg, WI 53012-2021 2006-11-14
1518971340 James B Stiehl Orthopaedic Surgery 575 W River Woods Pkwy, Milw, WI 53212 2006-07-28
1295769321 Orthopedic Surgeons of Wisconsin, S.c. Orthopaedic Surgery 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 2006-07-11
1831141506 Edward M Nelsen-freund Orthopaedic Surgery 9200 W Wisconsin Ave, Dept of Orthopaedic Surgery, Milwaukee, WI 53226-3522 2006-05-17

Competitor

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City MOUNT PLEASANT
Zip Code 53405

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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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