DR. JAY ADAM LIEBERMAN (NPI# 1407877004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407877004 |
Entity Type | Individual |
Full Name | DR. JAY ADAM LIEBERMAN |
Credential | M.D. |
Practice Address |
51 N Dunlap St Suite 400 Memphis TN 38105-4625 |
Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
Practice Telephone | 9012877337 |
Practice Fax Number | 9012666488 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-11-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | 254120-1 | NY | Allopathic & Osteopathic Physicians |
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
48645 | TN | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 2006015608 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1528562 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245474428 | Jay E. Lieberman | Dentist | 559 Woodside Ave, Park City, UT 84060-0513 | 2009-05-01 |
1164533279 | Jay M Lieberman | Pediatrics | 2685 Elm Ave, Long Beach, CA 90806-1605 | 2006-08-31 |
1316959935 | Jay R Lieberman | Orthopaedic Surgery | 1520 San Pablo St, Suite 2000, Los Angeles, CA 90033-5310 | 2006-08-12 |
1316980568 | Jay Alan Lieberman | Podiatrist | 2964 N State Road 7, Suite 205, Margate, FL 33063-5715 | 2006-06-14 |
Street Address |
51 N DUNLAP ST SUITE 400 |
City | MEMPHIS |
State | TN |
Zip Code | 38105-4625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639173446 | Dawn Heather Scott | Pediatrics | 51 N Dunlap St, Ste 410, Memphis, TN 38105-4625 | 2005-06-09 |
1730732637 | Megan Leeann Parker | Genetic Counselor, MS | 51 N Dunlap St, 4th Fl, Memphis, TN 38105-2802 | 2019-07-19 |
1881254290 | Tara Karr | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-06-18 |
1912565300 | Ashley Marie Kilpatrick | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-05-31 |
1811454291 | Cady Danielle Burcham | Nurse Practitioner | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-02-21 |
1154861219 | Ut Medical Group, Inc. | General Acute Care Hospital | 51 N Dunlap St, Neonatal Intensive Care Unit, Memphis, TN 38105-4625 | 2017-03-08 |
1669911756 | Jenny R. Strelsin | Nurse Practitioner | 51 N Dunlap St, 2nd Floor, Memphis, TN 38105-4625 | 2017-02-22 |
1437608114 | Sarah Carter | Registered Nurse | 51 N Dunlap St, Memphis, TN 38105-4625 | 2016-09-23 |
1699221028 | Meredith Canale | Registered Nurse | 51 N Dunlap St, Suite 400, Memphis, TN 38105-4625 | 2016-08-26 |
1871955351 | Sharon Hogue | Nurse Practitioner | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2016-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
Find all providers in zip 38105 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184724312 | Richard G Wanderman | Allergy & Immunology | 6077 Apple Tree Dr, #5, Memphis, TN 38115-8622 | 2006-09-25 |
1952415424 | Steve Cole | Allergy & Immunology | 1750 Madison Ave Ste 210, Memphis, TN 38104-6428 | 2006-08-19 |
1942245121 | W.w. Taylor, Jr, M.d., P.C. | Allergy & Immunology | 1755 Kirby Pkwy, Suite 100, Memphis, TN 38120-8300 | 2006-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114434750 | Allcare Services Inc | Allergy & Immunology | 19124 River Canyon Rd, Chattanooga, TN 37405-7406 | 2018-01-04 |
1225256613 | Chrishana L. Ogilvie Tymony | Allergy & Immunology | 2155 West St, Germantown, TN 38138-3856 | 2007-04-23 |
1871645432 | Susan M Higgins | Allergy & Immunology | Skin & Allergy Center 1970 Medical Center Parkway, Murfreesboro, TN 37132 | 2007-01-16 |
1205879400 | Allergic Diseases Asthma & Immunology Clinic PC | Allergy & Immunology | 7417 Kingston Pike Ste 101, Knoxville, TN 37919-5616 | 2006-06-14 |
1659340610 | Marek M Pienkowski | Allergy & Immunology | 7417 Kingston Pike, Suite 101, Knoxville, TN 37919-5606 | 2006-03-14 |
1013983709 | Michael M Dao | Allergy & Immunology | 1161 Murfreesboro Pike Ste 500, Nashville, TN 37217-2222 | 2006-02-23 |
1619958949 | Michael P Miller | Allergy & Immunology | 1915 Church Street, Suite One-half, Nashville, TN 37203-2203 | 2005-11-14 |
1336121649 | Robert Carroll Owen | Allergy & Immunology | 1600 Westgate Circle, Ste. 295, Brentwood, TN 37027-8069 | 2005-11-14 |
1326043373 | Neil D Wallen | Allergy & Immunology | 933 Highway 126, Bristol, TN 37620-3310 | 2005-06-16 |
1629072525 | Leslie John Newman Jr. | Allergy & Immunology | 1370 Gateway Blvd, Suite 230, Murfreesboro, TN 37129-2589 | 2005-06-08 |
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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.