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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201236820 | 05 |
Street Address |
3811 SPRING ST SUITE 102 |
City | MOUNT PLEASANT |
State | WI |
Zip Code | 53405-1667 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 53405 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
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. |
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 |
City | MOUNT PLEASANT |
Zip Code | 53405 |
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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.