SCOTT M LIEBERMAN


Address: 1783 Troup Hwy, Tyler, TX 75701-5869
Phone: 9035952283

SCOTT M LIEBERMAN (NPI# 1326038159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326038159
Entity Type Individual
Full Name SCOTT M LIEBERMAN
Credential MD
Practice Address 1783 Troup Hwy
Tyler
TX 75701-5869
Practice Telephone 9035952283
Practice Fax Number 9035951063
Mailing Telephone 9035952283
Mailing Fax Number 9035951063
Enumeration Date 2005-10-24
Last Update Date 2015-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
J6158 TX Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
J6158 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX SMITH COUNTY INDIGENT 045166801 01
TX RAIL ROAD MEDICARE 060024159 01
TX PALMETTO GBA 060024159 01
LA 1776475 05
TX BCBS OF TEXAS 86K923 01
TX 045166801 05

Other Providers SCOTT LIEBERMAN

NPI Name Taxonomy Address Enumeration
1700850088 Scott A Lieberman Obstetrics & Gynecology 12277 De Paul Dr Ste 305, Bridgeton, MO 63044-2529 2006-02-14
1134412760 Scott Mitchell Lieberman Internal Medicine 2825 N State Road 7 Ste 305, Margate, FL 33063-5737 2011-05-16
1447440698 Scott Lieberman Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2007-07-25
1871644781 Scott H Lieberman Internal Medicine 4323 Carothers Pkwy, Sutie 409, Franklin, TN 37067-5914 2007-01-16
1679679179 Scott Lieberman Radiology 1 Washington Sq, Ste Hb103, San Jose, CA 95192-0001 2006-09-15

Office Location

Street Address 1783 TROUP HWY
City TYLER
State TX
Zip Code 75701-5869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396735122 Carl Noah Israel Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2005-10-24
1144632621 Aligned Providers of East Texas Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2014-06-02
1619114659 Rachel Devaney Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2009-01-13
1902817992 Kyle James Smith Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2006-08-11
1699712703 Richard William Lowry Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2006-05-31
1447212303 Cardiovascular Associates of East Texas Pa Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2006-04-05
1649260373 Jeffrey G Carr Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2005-10-25
1255321980 Sherif S Iskander Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2005-10-25
1043200785 Scott A Wright Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2005-10-25
1811987654 Alexandre A Petrakian Internal Medicine 1783 Troup Hwy, Tyler, TX 75701 2005-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376538801 Tyler Cardiovascular Consultants P.a. Internal Medicine 2608 Mcdonald Rd Ste 100, Tyler, TX 75701-5934 2005-09-12
1831261809 Oscar A Paniagua Internal Medicine 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 2006-11-14
1043220643 William R. Powell Internal Medicine 910 E Houston St, Tyler, TX 75702-8369 2006-08-08
1528074317 James A. Caccitolo Internal Medicine 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2006-07-31
1861487274 Kenneth Brent Kummerfeld Internal Medicine 703 S Fleishel Ave Ste 4000, Tyler, TX 75701-2015 2005-09-13
1699778035 Stephen L. Sigal Internal Medicine 820 S Baxter Ave, Tyler, TX 75701-2225 2005-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770198665 Na Medical, Pllc Internal Medicine 4310 James Casey St Ste A, Austin, TX 78745-1251 2020-09-09
1497367015 Trident Heart and Vascular, Pllc Internal Medicine 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 2020-08-17
1891251104 Woodlands Elite Cardiology, Pllc Internal Medicine 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 2019-02-12
1033684113 Summit Heart and Vascular Pllc Internal Medicine 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 2018-10-04
1104329440 Deerbrook Cath Lab LLC Internal Medicine 18450 Hwy 59 Suite 101, Humble, TX 77338 2018-03-13
1073015681 Dfw Heart and Wellness Center, Pllc Internal Medicine 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 2018-02-28
1346758695 Cardiac Cin of North Texas Internal Medicine 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 2018-01-19
1487162368 Cardiac Cin of West Texas LLC Internal Medicine 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 2018-01-13
1114435096 Cardiac Cin of Austin LLC Internal Medicine 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 2018-01-13
1275040925 Prime Heart and Vascular, Pllc Internal Medicine 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 2018-01-03
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Competitor

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City TYLER
Zip Code 75701

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Dataset Information

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.

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