MR. ROBERT A LIBERATORE (NPI# 1629064969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064969 |
| Entity Type | Individual |
| Full Name | MR. ROBERT A LIBERATORE |
| Credential | DPM |
| Practice Address |
2391 Court Dr Suite 100 Gastonia NC 28054-2196 |
| Practice Telephone | 7048677388 |
| Practice Fax Number | 7048658999 |
| Mailing Telephone | 7048677388 |
| Mailing Fax Number | 7048658999 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2010-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
296 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890809B | 05 |
| Street Address |
2391 COURT DR SUITE 100 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696522 | Walter Harry Caulfield IIi | Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2005-08-19 |
| 1144658246 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 2391 Court Dr, Ste 105, Gastonia, NC 28054-2196 | 2013-10-29 |
| 1982030466 | Caromont Medical Group, Inc. | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2013-09-17 |
| 1922398080 | Caromont Medical Group Inc | Surgery | 2391 Court Dr, Suite 120a, Gastonia, NC 28054-2196 | 2011-04-11 |
| 1720377625 | Caromont Medical Group, Inc. | Surgery | 2391 Court Dr, Suite 120b, Gastonia, NC 28054-2196 | 2011-03-31 |
| 1548571672 | Cpsc Cmg LLC | Plastic Surgery | 2391 Court Dr, Ste 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1972814010 | Hcoc Cmg LLC | Orthopaedic Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1528221272 | Ashley M Walker | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2008-07-02 |
| 1376674028 | Jaime Villarreal | Internal Medicine | 2391 Court Dr, Ste 110, Gastonia, NC 28054 | 2007-03-07 |
| 1184797219 | Parag Madhav Phadke | Orthopaedic Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780634386 | Melanie Jessup Eubanks | Podiatrist | 2391 Court Dr Ste 100, Gastonia, NC 28054-2197 | 2006-05-12 |
| 1942841218 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2019-10-08 |
| 1710231469 | Instride Foot and Ankle Specialist, Pllc | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2012-11-02 |
| 1255380143 | Carolina Orthopaedic & Sports Medicine Center, P.a. | Podiatrist | 2345 Court Drive, Gastonia, NC 28054-2151 | 2006-05-08 |
| 1619935467 | Carolina Foot & Ankle Specialists, Pa | Podiatrist | 603 Cox Rd, Gastonia, NC 28054-3432 | 2006-05-02 |
| 1235102971 | Robert Christopher Olson | Podiatrist | 2345 Court Drive, Gastonia, NC 28054 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696834 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 6341 Cook Ave Ste A, Clemmons, NC 27012-9380 | 2020-07-15 |
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
| 1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
| 1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
| 1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1669022950 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1861042152 | Unc Physicians Network Group Practices, LLC | Podiatrist | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | 2019-09-18 |
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
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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.