DR. SHANE A LIEBERMAN (NPI# 1295175875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295175875 |
Entity Type | Individual |
Full Name | DR. SHANE A LIEBERMAN |
Credential | MD |
Practice Address |
200 Exempla Cir Lafayette CO 80026-3370 |
Practice Telephone | (303) 338-4545 |
Mailing Telephone | (303) 338-4545 |
Enumeration Date | 2013-06-27 |
Last Update Date | 2017-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | TL4814 | CO | Allopathic & Osteopathic Physicians |
Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
DR.0055480 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | KAISER COMMERCIAL NUMBER | 028498 | 01 |
Street Address |
200 EXEMPLA CIR |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-3370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316932387 | Susan L Blakley | Internal Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2005-09-15 |
1790391480 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-18 |
1659985737 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-04 |
1669096848 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-06-03 |
1104451699 | Emergency Service Physicians, Inc. | Emergency Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-03-05 |
1720569569 | Dastgeer Surgical Associates | Specialist/Technologist, Other | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2018-08-28 |
1639607021 | Sagarika Sinha | Hospitalist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2017-05-30 |
1619321148 | Stephanie Veronica Eldred | Family Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2016-04-21 |
1861877169 | Ashley Lane | Physician Assistant | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-07-28 |
1184013500 | Michele Rundall-aemmer | Registered Nurse | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
Find all providers in zip 80026 |
Taxonomy Code | 207QH0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Hospice and Palliative Medicine |
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972549210 | Gayle F Bereskin | Family Medicine | 247 Rendezvous Dr, Lafayette, CO 80026-3399 | 2006-06-22 |
1801426937 | Hoh Palliative Care, LLC | Family Medicine | 1100 Bertrand Dr, Lafayette, LA 70506-4110 | 2020-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811595374 | Hopewest | Family Medicine | 725 S 4th St, Montrose, CO 81401-4222 | 2020-10-15 |
1437705977 | Insight Medical Counseling, LLC | Family Medicine | 643 Panorama Dr, Grand Junction, CO 81507-4028 | 2019-08-12 |
1134415524 | Morgan Jayne Unruh | Family Medicine | 1700 Wheeling St # G2-259b, Aurora, CO 80045-7211 | 2011-06-23 |
1023237633 | Colorado Family Medicine | Family Medicine | 128 Steele St Ste 300, Denver, CO 80206-5218 | 2007-04-24 |
1477567170 | Gary R Graham | Family Medicine | 4605 Belford Cir, Broomfield, CO 80023-8110 | 2006-07-28 |
1427041227 | Hopewest | Family Medicine | 2754 Compass Dr, Ste 377, Grand Junction, CO 81506-8723 | 2005-08-26 |
1851990980 | Hopewest | Family Medicine | 3090 N 12th St Unit B, Grand Junction, CO 81506-2804 | 2020-10-20 |
1326646886 | Hopewest | Family Medicine | 195 Stafford Ln, Delta, CO 81416-2229 | 2020-10-15 |
1861004228 | Colorado Visiting Nurse Association | Family Medicine | 6750 W 52nd Ave, Arvada, CO 80002-3928 | 2020-08-18 |
1225678691 | Bryvic Medical, LLC | Family Medicine | 1914 Falcon Ridge Dr, Fort Collins, CO 80528-5100 | 2020-01-13 |
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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.