SCOTT LIEBERMAN (NPI# 1679679179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679679179 |
Entity Type | Individual |
Full Name | SCOTT LIEBERMAN |
Credential | M.D. |
Practice Address |
1 Washington Sq Ste Hb103 San Jose CA 95192-0001 |
Mailing Address |
15466 Los Gatos Blvd Ste 109-280 Los Gatos CA 95032-2542 |
Practice Telephone | 4089246116 |
Mailing Telephone | 4089246116 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G3556 | TX | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G58630 | CA | Allopathic & Osteopathic Physicians |
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 |
1326038159 | Scott M Lieberman | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2005-10-24 |
Street Address |
1 WASHINGTON SQ STE HB103 |
City | SAN JOSE |
State | CA |
Zip Code | 95192-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144869223 | Claire Foster | Psychologist | 1 Washington Sq, San Jose, CA 95192-1112 | 2020-01-06 |
1417433657 | Peitzu Tsai | Speech-Language Pathologist | 1 Washington Sq, San Jose, CA 95192-0079 | 2018-07-11 |
1528554839 | Gina Marie Guglielmoni | Specialist/Technologist | 1 Washington Sq, San Jose, CA 95192-1000 | 2018-07-10 |
1780109330 | Lisa Anne Palmer | Student in an Organized Health Care Education/Training Program | 1 Washington Sq, San Jose, CA 95192-1000 | 2017-08-04 |
1508215906 | Samantha Calvet | Specialist/Technologist | 1 Washington Sq, San Jose, CA 95192-1000 | 2016-06-07 |
1881948560 | Erin L Woodhead | Psychologist | 1 Washington Sq, San Jose, CA 95192-0120 | 2012-11-02 |
1740562065 | Marcella Mccollum | Speech-Language Pathologist | 1 Washington Sq, Sh 115, San Jose, CA 95192-0079 | 2011-09-13 |
1225310444 | Wendy Quach | Speech-Language Pathologist | 1 Washington Sq, San Jose, CA 95192-0079 | 2011-09-13 |
1912151382 | Amy L. Moore | Registered Nurse | 1 Washington Sq, San Jose, CA 95192-3613 | 2008-11-11 |
1457534968 | San Jose State University Student Health Center | Clinic/Center | 1 Washington Sq, San Jose, CA 95192-0037 | 2007-12-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093326324 | Kyungmo Han | Specialist/Technologist | Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 | 2020-08-11 |
1558589382 | Barbara Fu | Internal Medicine | Sjsu Shc One Washington Sq, San Jose, CA 95192-0001 | 2007-04-24 |
1104856624 | Jeb M Burns | Specialist/Technologist | One Washington Square, San Jose, CA 95192-0001 | 2006-07-03 |
1598702136 | Jeffrey James Roberts | Specialist/Technologist | San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 | 2006-06-01 |
1013246628 | Roger Karlsson | Psychologist | Department of Psychology, 1 Washington Sq, San Jose, CA 95192-0001 | 2009-12-09 |
1639203755 | Harry John Cornbleet | Internal Medicine | San Jose State University Student Health Ctr, 1 Washington Sq, San Jose, CA 95192-0037 | 2007-03-14 |
1124230008 | Robert Laurence Kronisch | Family Medicine | San Jose State University Student Health Ctr, One Washington Square, San Jose, CA 95192-0037 | 2007-05-04 |
1306313085 | Masaaki Tsuruike | Preventive Medicine | One Washington Square, San Jose, CA 95192-0054 | 2018-10-31 |
1013180488 | Jennifer Gregg | Psychologist | Dept of Psychology, One Washington Square, San Jose, CA 95192-0120 | 2008-04-08 |
1407136872 | Jenessa Bayda | Social Worker | School of Social Work, One Washington Square, San Jose, CA 95192-0124 | 2011-08-17 |
Find all providers in zip 95192 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
1174814214 | Bhargav Raman | Radiology | 2039 Forest Ave Ste 205, San Jose, CA 95128-4817 | 2011-04-25 |
1649596792 | Omnirad Medical Group, Inc. | Radiology | 2410 Samaritan Dr Ste 101, San Jose, CA 95124-3909 | 2010-04-14 |
1275775207 | Priyanka Jha | Radiology | 750 Cedarville Ln, San Jose, CA 95133-2076 | 2009-04-06 |
1346345360 | John Randolph Jinkins | Radiology | 828 S Bascom Ave Ste 110, San Jose, CA 95128-2652 | 2006-09-14 |
1356352660 | Radiological Associates Medical Group, Inc | Radiology | 2410 Samaritan Drive, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
1780621763 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 550 S Winchester Blvd Ste 110, San Jose, CA 95128-2526 | 2006-05-31 |
1558322180 | Michael Glenn Myers | Radiology | 6496 Deer Hollow Dr, San Jose, CA 95120-1634 | 2006-03-31 |
1568453421 | Rory Satterfield | Radiology | 798 S Winchester Blvd, San Jose, CA 95128-2928 | 2005-10-31 |
1528054582 | Glenn Strome | Radiology | 3031 Tisch Way Ste 400, San Jose, CA 95128-2531 | 2005-09-26 |
Find all providers in SAN JOSE |
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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.