DR. LIBERTY BELLE SHELTON HOBERMAN (NPI# 1538123724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538123724 |
| Entity Type | Individual |
| Full Name | DR. LIBERTY BELLE SHELTON HOBERMAN |
| Credential | MD |
| Practice Address |
400 136th Ave Suite 416 Holland MI 49424-2923 |
| Practice Telephone | 6167380470 |
| Practice Fax Number | 6167380498 |
| Mailing Telephone | 6167380470 |
| Mailing Fax Number | 6167380498 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301068128 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4783476 | 05 | |
| MI | BLUE CROSS BLUE SHIELD MI | 020G010060 | 01 |
| COMMERCIAL | 382809956 | 01 |
| Street Address |
400 136TH AVE SUITE 416 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982943304 | Heritage Homes, Inc. | In Home Supportive Care | 400 136th Ave, Bldg. 200, Ste. 205, Holland, MI 49424-2923 | 2013-02-05 |
| 1669611125 | Liberty Surgical Associates, Pllc | Surgery | 400 136th Ave, Suite 416, Holland, MI 49424-2923 | 2009-02-06 |
| 1770641094 | Daniel Ray Hilsman | Chiropractor | 400 136th Ave, Ste 413, Holland, MI 49424-2923 | 2006-12-06 |
| 1275641805 | Trina Sue Crowe | Social Worker | 400 136th Ave, Holland, MI 49424-2923 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174787816 | Elizabeth Jayne Jeffers | Surgery | 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023 | 2008-07-11 |
| 1841324779 | Acute Care Specialists, Pllc | Surgery | 960 Meadow Ridge Dr, Holland, MI 49424-6491 | 2007-03-15 |
| 1255490397 | Macatawa Surgical Associates PC | Surgery | 3290 N Wellness Dr Ste 150, Holland, MI 49424-8047 | 2006-12-06 |
| 1316908411 | Jane Pettinga | Surgery | 844 Washington Ave, Suite 2700, Holland, MI 49423-7195 | 2006-03-29 |
| 1962742981 | Holland Hospital | Surgery | 577 Michigan Ave, Suite #202, Holland, MI 49423-4911 | 2013-02-28 |
| 1306123351 | Holland Community Hospital | Surgery | 577 Michigan Ave, Suite 202, Holland, MI 49423-4911 | 2011-11-04 |
| 1538445051 | Spectrum Health Primary Care Partners | Surgery | 3290 N Wellness Dr, Ste. 150, Holland, MI 49424-7259 | 2011-10-28 |
| 1669611125 | Liberty Surgical Associates, Pllc | Surgery | 400 136th Ave, Suite 416, Holland, MI 49424-2923 | 2009-02-06 |
| 1902065287 | Jessica Hafner | Surgery | 577 Michigan Ave, Suite 202, Holland, MI 49423-4911 | 2008-06-03 |
| 1982727426 | Brian Norbert Dishinger | Surgery | 577 Michigan Ave, Suite 202, Holland, MI 49423-4911 | 2007-04-09 |
| Find all providers in HOLLAND | ||||
Please comment or provide details below to improve the information on DR. LIBERTY BELLE SHELTON HOBERMAN.
| 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.