DR. GARY YU-JEN LIAO (NPI# 1275823569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275823569 |
Entity Type | Individual |
Full Name | DR. GARY YU-JEN LIAO |
Credential | D.P.M |
Practice Address |
5107 Southpark Dr Ste 202 Durham NC 27713-8401 |
Mailing Address |
4119 Capitol St Durham NC 27704-2153 |
Practice Telephone | 9195442583 |
Mailing Telephone | 9194779333 |
Enumeration Date | 2011-04-08 |
Last Update Date | 2017-02-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
618 | NC | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
618 | NC | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
618 | NC | Podiatric Medicine & Surgery Service Providers |
Street Address |
5107 SOUTHPARK DR STE 202 |
City | DURHAM |
State | NC |
Zip Code | 27713-8401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821147836 | Martin C. Clowse | Internal Medicine | 5107 Southpark Dr, Suite 104, Durham, NC 27713-8400 | 2007-01-09 |
1861746588 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 5107 Southpark Dr, Suite 202, Durham, NC 27713-8400 | 2012-11-02 |
1043486483 | Novant Medical Group, Inc. | Internal Medicine | 5107 Southpark Dr, Suite 104, Durham, NC 27713-8400 | 2008-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
Find all providers in zip 27713 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518370105 | Aaron John Leshikar | Podiatrist | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2014-06-11 |
1306256599 | Alan E Sotelo | Podiatrist | 4119 Capitol St, Durham, NC 27704-2153 | 2014-04-28 |
1831314780 | Melissa Scala Hill | Podiatrist | 4119 Capitol St, Durham, NC 27704-2153 | 2007-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073126223 | King Podiatry and Associates Pllc | Podiatrist | 5116 N Croatan Hwy, Kitty Hawk, NC 27949-3988 | 2020-08-27 |
1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
1255773222 | Jacob A Panici | Podiatrist | 103 Parkway Office Ct Ste 100, Cary, NC 27518-7429 | 2013-07-19 |
1881038453 | Cardinal Podiatry, P.C. | Podiatrist | 1852 Banking St # 9043, Greensboro, NC 27408-7222 | 2013-04-25 |
1891007639 | Tori N Simmons Lewis | Podiatrist | 10370 Park Rd Ste 100, Charlotte, NC 28210-8509 | 2010-07-09 |
1437316361 | Paul J Keane Dpm | Podiatrist | 506 S Sutherland Ave, Monroe, NC 28112-5061 | 2008-05-19 |
1568542181 | Robert Charles Wingate | Podiatrist | 1050 South Peace Haven Road, Winston Salem, NC 27103-9788 | 2006-10-17 |
1275630295 | Chukwuma Ukata | Podiatrist | 516 Village Ct, Garner, NC 27529-3600 | 2006-09-20 |
1992810717 | Kevin C Mcdonald | Podiatrist | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | 2006-08-20 |
1568484749 | Jennifer H Purvis | Podiatrist | 3301 Sunset Ave, Rocky Mount, NC 27804-3521 | 2006-07-24 |
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.