PAUL H LIEBMAN MD PC (NPI# 1679549489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679549489 |
Entity Type | Organization |
Organization Name | PAUL H LIEBMAN MD PC |
Practice Address |
155 Medical Way Ste D Riverdale GA 30274 |
Practice Telephone | 7709966661 |
Practice Fax Number | 7709996355 |
Mailing Telephone | 7709966661 |
Mailing Fax Number | 7709996355 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. PAUL HARVEY LIEBMAN (PRESIDENT) |
Authorized Official Telephone | 7709966661 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
GA017064 | GA | Allopathic & Osteopathic Physicians |
Street Address |
155 MEDICAL WAY STE D |
City | RIVERDALE |
State | GA |
Zip Code | 30274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821543158 | Laura Elizabeth James | Physical Therapist | 155 Medical Way, Ste A, Riverdale, GA 30274-4940 | 2016-08-16 |
1285189506 | Erika Lea Fajman | Physical Therapist | 155 Medical Way, Ste A, Riverdale, GA 30274-4940 | 2016-08-16 |
1932388527 | Paul Harvey Liebman | Internal Medicine | 155 Medical Way, Suite D, Riverdale, GA 30274-4940 | 2007-10-30 |
1720022155 | John Justus Miller | Ophthalmology | 155 Medical Way, Suite E, Riverdale, GA 30274 | 2006-06-15 |
1194788034 | Kendra L Mclester | Midwife | 155 Medical Way, Suite B, Riverdale, GA 30274-4940 | 2006-04-11 |
1619937646 | David Baruch Rush | Psychologist | 155 Medical Way, Suite D, Riverdale, GA 30274-4940 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063520419 | Rajinikanth Seshan | Internal Medicine | 253 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274-4945 | 2006-08-27 |
1932388527 | Paul Harvey Liebman | Internal Medicine | 155 Medical Way, Suite D, Riverdale, GA 30274-4940 | 2007-10-30 |
1942345970 | Babak Razi | Internal Medicine | 4404 Queensbury Rd, Suite 100, Riverdale, MD 20737-1068 | 2007-02-20 |
1518972306 | Abraham Bake Dabela | Internal Medicine | 4404 Queensbury Rd, Riverdale, MD 20737-1068 | 2006-07-30 |
1437103595 | Mangal Katikineni | Internal Medicine | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
1295219103 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-09-18 |
1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
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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.