DR. MICHAEL M. LIDDY (NPI# 1285845552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285845552 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL M. LIDDY |
| Credential | MD |
| Practice Address |
4725 N. Federal Highway Fort Lauderdale FL 33308-4603 |
| Mailing Address |
Po Box 551420 Fort Lauderdale FL 33355-1420 |
| Practice Telephone | 9547718000 |
| Practice Fax Number | 9547763270 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 8558514405 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME110099 | FL | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | ME 110099 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 14F6M | 01 |
| FL | 004003300 | 05 |
| Street Address |
4725 N. FEDERAL HIGHWAY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477111 | Neeta Mitroo | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2005-09-13 |
| 1790108868 | Leslie P Fernandez | Nurse Anesthetist, Certified Registered | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2014-01-27 |
| 1477883189 | Cynthia Toot | Nurse Practitioner | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2009-12-30 |
| 1194961938 | Barbara C Fiallo | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2008-12-29 |
| 1902096274 | Catalina Apostol | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2007-08-01 |
| 1932301074 | Lorraine A. Volkers | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2007-06-01 |
| 1326164435 | Brian D. Cohen | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2007-03-21 |
| 1275660755 | Juan Carlos Terrero | Radiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2007-02-28 |
| 1518022508 | Jason Kosove | Radiology | 4725 N. Federal Highway, Fort Lauderdale, FL 19107-6130 | 2006-12-27 |
| 1235292814 | Bolidy D. Ung | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851516264 | Reza Voosoughi | Anesthesiology | Anesco North Broward LLC, 3601 W Commercial Blvd Suite 5, Fort Lauderdale, FL 33309 | 2007-04-13 |
| 1134250004 | Michel A Ghattas | Anesthesiology | 2301 Ne 19th St, Fort Lauderdale, FL 33305-2629 | 2007-03-09 |
| 1740291889 | John Keith Golia | Anesthesiology | 120 Ne 17th Ave, Fort Lauderdale, FL 33301-3801 | 2006-08-11 |
| 1346268398 | Simon Wansa | Anesthesiology | C/o Broward General Medical Center, 1600 South Andrews Avenue, Fort Lauderdale, FL 33316 | 2006-07-18 |
| 1003846494 | Alejandro Mendoza | Anesthesiology | 3601 West Commercial Blvd Ste 5, Anesco North Broward LLC, Fort Lauderdale, FL 33309 | 2006-07-03 |
| 1578529319 | Tamara Sologub | Anesthesiology | C/o Florida Medical Center, 5000 West Oakland Park Blvd, Fort Lauderdale, FL 33313 | 2006-04-21 |
| 1497710107 | Richard Meli | Anesthesiology | C/o Anesco North Broward LLC, 3601 W Commercial Blvd Ste 4+5, Fort Lauderdale, FL 33309 | 2006-04-18 |
| 1760477111 | Neeta Mitroo | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2005-09-13 |
| 1487647731 | Don Michael Morehouse | Anesthesiology | 5200 N Federal Hwy, #2-1222, Fort Lauderdale, FL 33308-3253 | 2005-08-23 |
| 1053803007 | Global Anesthesia Executive Services LLC | Anesthesiology | 3536 N Federal Hwy Ste 102, Fort Lauderdale, FL 33308-6264 | 2018-06-05 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.