KATHERINE GO LIAO


Address: 1601 Roosevelt Rd, Niagara, WI 54151-1043
Phone: 7152511780

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Providers KATHERINE LIAO

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

Office Location

Street Address 1601 ROOSEVELT RD
City NIAGARA
State WI
Zip Code 54151-1043

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City NIAGARA
Zip Code 54151

Improve Information

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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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