LIBERTY-DAYTON COMMUNITY HOSPITAL (NPI# 1881769222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881769222 |
| Entity Type | Organization |
| Organization Name | LIBERTY-DAYTON COMMUNITY HOSPITAL |
| Practice Address |
1353 N Travis St Liberty TX 77575-3549 |
| Practice Telephone | 9363367316 |
| Mailing Telephone | 9363367316 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALBERT B SCHWARZER (MANAGING PARTNER) |
| Authorized Official Telephone | 8177381993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS ER GROUP | 0086JH | 01 |
| Street Address |
1353 N TRAVIS ST |
| City | LIBERTY |
| State | TX |
| Zip Code | 77575-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114945532 | Danny Kyaw Khine | Internal Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2006-07-17 |
| 1679926992 | Liberty County Hospital District No 1 | Clinic/Center | 1353 N Travis St, Liberty, TX 77575-3549 | 2016-07-21 |
| 1811371701 | Liberty County Hospital District No. 1 | Medicare Defined Swing Bed Unit | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-07-10 |
| 1770964991 | Susan D. Clark | Nurse Practitioner | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-06-12 |
| 1295128247 | Ess of South Texas LLC | Emergency Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-03-16 |
| 1922328335 | Israel Tegegne Haile | Internal Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2010-06-08 |
| 1487889960 | Heather Reed | Physician Assistant | 1353 N Travis St, Liberty, TX 77575-3549 | 2009-05-27 |
| 1407094667 | Shelly Margaret States | Physician Assistant | 1353 N Travis St, Liberty, TX 77575-3549 | 2009-01-27 |
| 1770733081 | Liberty Dayton Community Hospital | General Acute Care Hospital | 1353 N Travis St, Liberty, TX 77575-3549 | 2008-09-23 |
| 1992988539 | Lisa Gaile Odom | Registered Nurse | 1353 N Travis St, Liberty, TX 77575-3549 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1003285156 | Divine Garden Transportation | Non-emergency Medical Transport (VAN) | 450 Mlking Dr., Liberty, TX 77575 | 2015-09-18 |
| 1689895799 | Allen R. Griffin | Eyewear Supplier (Equipment, not the service) | 2718 B N. Main St., Liberty, TX 77575 | 2007-05-02 |
| 1548362395 | Hsmtx/liberty, LLC | Skilled Nursing Facility | 1206 N Travis St, Liberty, TX 77575 | 2006-09-02 |
| 1699877530 | Lessie Frank | Licensed Vocational Nurse | 612 Highway 90, Liberty, TX 77575 | 2006-09-01 |
| 1588601827 | Trudy Poor Britz | Nurse Practitioner | 1807 Rampart, League, TX 77575 | 2006-06-02 |
| 1285680033 | Faresh Mehta | Optometrist | 2121 Hwy 146 Bypass, Liberty, TX 77575 | 2006-05-25 |
| 1922455781 | Bassam A. Hamid M.d.,p.a. Urgent Care/primarycare | Clinic/Center | 608 Travis, Liberty, TX 77575 | 2016-05-20 |
| 1508887241 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2006-07-21 |
| 1528581220 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2017-07-25 |
| Find all providers in zip 77575 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595838 | Health Center of Southeast Texas | Family Medicine | 1002 Bowie St, Liberty, TX 77575-4659 | 2019-08-28 |
| 1740668326 | Elizabeth Critelli Nevshemal | Family Medicine | 1025 Aspen Dr, Liberty, MO 64068-7411 | 2015-05-14 |
| 1669818480 | Field Memorial Community Hospital | Family Medicine | 1410 Main St. East, Liberty, MS 39645-0514 | 2013-05-20 |
| 1801144977 | Phillip Eugene King | Family Medicine | 418 Lakeside Dr, Liberty, MO 64068-3440 | 2012-08-21 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| 1265690309 | Brandon Kyle Smith | Family Medicine | 1201 N Travis St, Liberty, TX 77575-3539 | 2008-05-27 |
| 1669654539 | The Family Doctors Office PC | Family Medicine | Westowne 3, Suite 303, Liberty, MO 64068 | 2007-12-03 |
| 1528285079 | Don Shannon Callens | Family Medicine | 720 Travis, Liberty, TX 77575-4828 | 2007-04-19 |
| 1649358649 | Karam Family Practice | Family Medicine | 10046 Old Liberty Rd, Liberty, NC 27298-8071 | 2006-11-01 |
| 1023190527 | Sheri L Dark | Family Medicine | 1409 N Travis St, Liberty, TX 77575-3137 | 2006-10-20 |
| Find all providers in LIBERTY | ||||
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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.