SAMUEL LIEBSON (NPI# 1225116445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225116445 |
Entity Type | Individual |
Full Name | SAMUEL LIEBSON |
Credential | D.P.M. |
Practice Address |
1597 Deer Park Rd Port Angeles WA 98362-8264 |
Practice Telephone | 3604526428 |
Practice Fax Number | 3604579012 |
Mailing Telephone | 3604526428 |
Mailing Fax Number | 3604579012 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2016-03-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
60015889 | WA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N3760 | NY | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1755 | MA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2280 | OH | Podiatric Medicine & Surgery Service Providers |
Street Address |
1597 DEER PARK RD |
City | PORT ANGELES |
State | WA |
Zip Code | 98362-8264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
Find all providers in zip 98362 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669028668 | Feet First Podiatry | Podiatrist | 4202 Summitview Avenue, Yakima, WA 98908-1240 | 2019-08-15 |
1306282801 | Abdulaziz Kimawi | Podiatrist | 34509 9th Ave S Ste 306, Federal Way, WA 98003-8710 | 2013-05-12 |
1487792966 | Michael Alan Sherwin | Podiatrist | 234 36th St, Bellingham, WA 98225-6540 | 2007-02-05 |
1407945348 | Lyle K Lorimer | Podiatrist | 14700 Ne 8th St Ste 200, Bellevue, WA 98007-4115 | 2006-10-11 |
1831297258 | Joanne M Gormley | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-09-20 |
1275644585 | David Wayne Griffin | Podiatrist | 203 Se Park Plaza Dr Ste 140, Vancouver, WA 98684-5887 | 2006-08-31 |
1427077114 | Chad G Smith | Podiatrist | 205 15th Ave Sw Ste D, Puyallup, WA 98371-7873 | 2006-07-19 |
1942237037 | Barney Aaron Yanklowitz | Podiatrist | Vapshcs ( A-112-pod ), 6900 Veterans Dr., Sw, Lakewood, WA 98493-5000 | 2006-06-26 |
1790729283 | Shi-yuan Cheng | Podiatrist | 18525 101st Ave Ne, Ste. 3, Bothell, WA 98011-3452 | 2006-06-15 |
1558361725 | Ronald J Douglas | Podiatrist | 225 E 3rd Ave, Suite # 5, Spokane, WA 99202-1422 | 2005-07-28 |
Find all providers with the same taxonomy |
City | PORT ANGELES |
Zip Code | 98362 |
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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.