LIBERTY MEDICAL GROUP PC (NPI# 1972792257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972792257 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL GROUP PC |
| Practice Address |
6200 Frankford Ave Philadelphia PA 19135-3405 |
| Practice Telephone | 2155352121 |
| Practice Fax Number | 2155352860 |
| Mailing Telephone | 2155352121 |
| Mailing Fax Number | 2155352860 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | DR. NEIL P GLICKMAN (PRESIDENT) |
| Authorized Official Telephone | 2155352121 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS002144L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
6200 FRANKFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19135-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548214182 | Pain Care Institute | Pain Medicine | 6200 Frankford Ave, Philadelphia, PA 19135-3400 | 2006-05-19 |
| 1932264454 | Michelle M Kim | Psychologist | 6200 Frankford Ave, 1st Floor, Philadelphia, PA 19135-3405 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922508001 | Creative Steps Services Inc | Local Education Agency (LEA) | 7036 Frankford Avenue (first Floor), Philadelpha, PA 19135 | 2018-02-15 |
| 1467856716 | Louise Jones | Counselor | 4043 Comly Street Floor 1, Philadelphia, PA 19135 | 2014-10-15 |
| 1497198493 | Dinah Warren | Nurse Practitioner | 7001 Frankford Ave #7027, Philadelphia, PA 19135 | 2013-04-10 |
| 1447480470 | Benny M Ninan | Pharmacist | 6327 43 Torresdale Ave, Philadelphia, PA 19135 | 2009-07-24 |
| 1396894606 | Paul A Cohen Dds | Dentist | 6808 Frankford Ave, Phila, PA 19135 | 2007-01-09 |
| 1821152315 | Stuart Cobert Baer | Family Medicine | 4600 Cottman Ave, Phila, PA 19135 | 2006-12-20 |
| 1568520401 | The Foot and Ankle Group PC | Podiatrist | 6921 Frankford Avenue, Suite D, Philadelphia, PA 19135 | 2006-12-04 |
| 1497841290 | Paul A Cohen | Dentist | 6808 Frankford Avenue, Philadelphia, PA 19135 | 2006-10-05 |
| 1215948344 | Young J Genau | Family Medicine | 7131-39 Frankford Avenue, Philadelphia, PA 19135 | 2006-08-11 |
| 1992735294 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6327 43 Torresdale Avenue, Philadelphia, PA 19135 | 2006-07-03 |
| Find all providers in zip 19135 | ||||
| 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. |
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| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19135 |
Please comment or provide details below to improve the information on LIBERTY MEDICAL GROUP PC.
| 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.