DR. STANLEY SHI-DAN LIU (NPI# 1255568994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255568994 |
| Entity Type | Individual |
| Full Name | DR. STANLEY SHI-DAN LIU |
| Credential | M.D. |
| Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
| Mailing Address |
Po Box 64442 Baltimore MD 21264-4442 |
| Practice Telephone | 4103287877 |
| Practice Fax Number | 4103283292 |
| Mailing Telephone | 4103287877 |
| Mailing Fax Number | 4103283292 |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D78616 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831310663 | Stanley Liu | Dentist | 1440 S. Country Club Dr., Suite 23, Mesa, AZ 85210 | 2007-05-01 |
| 1578958898 | Stanley M Liu | Internal Medicine | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2015-04-02 |
| Street Address |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1407119712 | Yitzhak Rosen | Internal Medicine | Sheikh Zayed - Echo Lab, 1800 Orleans Streeet, 4th Floor, Baltimore, MD 21287-0010 | 2012-06-21 |
| 1013206119 | Thorsten Martin Leucker | Internal Medicine | 4940 Eastern Ave Ste 2400, Baltimore, MD 21224-2735 | 2011-03-30 |
| 1003115387 | Tolulope Adesiyun Agunbiade | Internal Medicine | 3333 N Calvert St Ste Llo8, Baltimore, MD 21218 | 2011-03-25 |
| 1932401544 | Esther Sung Hee Pak | Internal Medicine | 4416 Laplata Ave, Apt A, Baltimore, MD 21211-1135 | 2010-12-02 |
| 1598990780 | Boon Yew Tan | Internal Medicine | 600 N Wolfe Street Carnegie 592, Baltimore, MD 21287-0001 | 2009-05-18 |
| 1548494529 | Mansoor Mozayan | Internal Medicine | 9105 Franklin Square Dr Ste 209, Baltimore, MD 21237-3958 | 2009-05-06 |
| 1083880876 | John Rickard | Internal Medicine | 301 Mason Lord Dr, Baltimore, MD 21224-3057 | 2008-05-01 |
| 1639362247 | Ramanather Sirithara, M.d., P.a. | Internal Medicine | 3001 Hanover St, Suite 334, Baltimore, MD 21225-1233 | 2007-08-27 |
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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.