RICHARD M LIEBERMAN, MD, PC (NPI# 1699891564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699891564 |
| Entity Type | Organization |
| Organization Name | RICHARD M LIEBERMAN, MD, PC |
| Practice Address |
1259 S Cedar Crest Blvd 235 Allentown PA 18103-6372 |
| Practice Telephone | 6107709700 |
| Practice Fax Number | 6107701791 |
| Mailing Telephone | 6107709700 |
| Mailing Fax Number | 6107701791 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | DR. RICHARD MICHAEL LIEBERMAN (PHYSICIAN) |
| Authorized Official Telephone | 6107709700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
MD030973E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1025309 | 05 | |
| PA | CAPITAL BLUE CROSS | 02352700 | 01 |
| PA | AETNA | 94789 | 01 |
| Street Address |
1259 S CEDAR CREST BLVD 235 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033384 | Robert M Gordon | Psychologist | 1259 S Cedar Crest Blvd, Ste 325, Allentown, PA 18103-6206 | 2005-06-16 |
| 1093348112 | Carmeli Marie Senupe Tremucha | Physical Medicine & Rehabilitation | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2020-02-17 |
| 1093241267 | Francisco Jovani Alvarado | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2017-05-10 |
| 1689100778 | Youngmin Chu | Surgery | 1259 S Cedar Crest Blvd, Department of Surgery, Allentown, PA 18103-6372 | 2017-05-10 |
| 1568994143 | Marc Taylor Mitton | Dermatology | 1259 S Cedar Crest Blvd, Allentown, PA 18103 | 2017-04-01 |
| 1518327345 | Revolutionary Home Heatlh, Inc | Home Health | 1259 S Cedar Crest Blvd, Suite 255, Allentown, PA 18103-6372 | 2016-03-07 |
| 1568821650 | Lehigh Valley Physician Group | Pain Medicine | 1259 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6372 | 2016-02-17 |
| 1093197741 | Christian A Pothering | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2015-06-18 |
| 1902291164 | Claire Otteni Dorfman | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2015-04-03 |
| 1023420361 | Elise Scoggin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841370988 | Richard M Lieberman | Urology | 5018 Medical Center Circle, Suite 240, Allentown, PA 18106-9661 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265720270 | Hugo Mori | Urology | 714 Glenburn Rd, Clarks Summit, PA 18411-2306 | 2011-07-12 |
| 1013494954 | Laura Alexandra Masterson | Urology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-07-24 |
| 1922326552 | Arun Srinivasan | Urology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2010-05-06 |
| 1316147671 | Steve Kim | Urology | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2007-07-24 |
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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.