KATHERINE GO LIAO (NPI# 1275505190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275505190 |
Entity Type | Individual |
Full Name | KATHERINE GO LIAO |
Credential | MD |
Practice Address |
1601 Roosevelt Rd Niagara WI 54151-1043 |
Mailing Address |
1601 Roosevelt Rd Po Box 6 Niagara WI 54151-1043 |
Practice Telephone | 7152511780 |
Practice Fax Number | 7152511787 |
Mailing Telephone | 8887246377 |
Mailing Fax Number | 7152511681 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2013-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301077176 | MI | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
42715-020 | WI | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
42715-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS | 050B210120 | 01 |
MI | 4259562 | 05 | |
MI | 4782512 | 05 | |
PREFERRED ONE | 1027531 | 01 | |
WI | 34051000 | 05 | |
WI | RAILROAD MEDICARE | 050077649 | 01 |
MI | RAILROAD MEDICARE | 050077646 | 01 |
MI | 4782568 | 05 | |
MI | 4782601 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518586718 | Katherine Liao | Pharmacist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-04-09 |
1013962703 | Katherine P Liao | Internal Medicine | 75 Francis St, Pbb-b3, Boston, MA 02115-6110 | 2006-05-23 |
Street Address |
1601 ROOSEVELT RD |
City | NIAGARA |
State | WI |
Zip Code | 54151-1043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285626242 | Bonnie Lou Koski | Nurse Practitioner | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2005-08-16 |
1699928218 | Danya Leigh Scott-nocerini | Licensed Practical Nurse | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2008-10-28 |
1255523551 | Chayapathy Jollu | Physical Medicine & Rehabilitation | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2007-08-10 |
1699719476 | Wisconsin Michigan Physicians, Sc | Durable Medical Equipment & Medical Supplies | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2006-06-15 |
1811969066 | Chandur Piryani | Pain Medicine | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2006-02-02 |
1609847896 | Vijay Singh | Pain Medicine | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2006-01-27 |
1699745067 | Niagara Health Center, Inc | Clinic/Center | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629614391 | Wallee Stebbens | Technician | W724 County Rd N, Niagara, WI 54151 | 2019-11-18 |
1215587035 | David Stebbins | Technician | 724 County Rd N, Niagara, WI 54151 | 2019-09-13 |
1740708262 | Radiant Natural Health Clinic Sc | Acupuncturist | 619 Washington Ave, Niagara, WI 54151 | 2017-09-05 |
1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
1740403260 | Robert B Pultz | Dentist | 621 Washington Ave, Niagara, WI 54151 | 2007-04-11 |
1811015548 | In Home Rehab of Dickinson County | Occupational Therapist | N19748 Timm's Lake Road, Suite 1, Niagara, WI 54151 | 2007-03-27 |
1336143726 | Maryhill Manor Inc | Skilled Nursing Facility | 501 Madison Avenue, Niagara, WI 54151 | 2005-06-13 |
1003938960 | Niagara Area Emergency Unit, Inc. | Ambulance | 1241 Jackson St, Niagara, WI 54151 | 2007-04-04 |
1447385133 | Mary Patricia Holzbauer | Social Worker | 1201 Jackson St, Marinette County Health and Human Services, Niagara, WI 54151 | 2007-02-22 |
1235228586 | Jane Marie Moker | Counselor | Marinette County Health and Human Services, 1201 Jackson St, Marinette, WI 54151 | 2006-10-12 |
Find all providers in zip 54151 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811969066 | Chandur Piryani | Pain Medicine | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2006-02-02 |
1609847896 | Vijay Singh | Pain Medicine | 1601 Roosevelt Rd, Niagara, WI 54151-1043 | 2006-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790309276 | Wisconsin Spine and Pain Sc | Pain Medicine | 1604 Cedar Bnd, Hartland, WI 53029-8663 | 2020-06-01 |
1679119689 | Pain Physicians of Wisconsin, Sc | Pain Medicine | 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 | 2019-11-25 |
1619359122 | Pain Relief, Inc. | Pain Medicine | 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 | 2015-06-19 |
1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
1285924969 | Thomas J. Guhl, M.d., S.c. | Pain Medicine | 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 | 2011-04-14 |
1457459869 | Nichole Virgo | Pain Medicine | 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 | 2006-09-20 |
1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
1750791901 | David L. Scherwinski, M.d., S.c. | Pain Medicine | 140 24th St S, Wisconsin Rapids, WI 54494-1906 | 2014-04-28 |
1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
Find all providers with the same taxonomy |
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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.