LIBERTY HEALTHCARE LLC (NPI# 1720332349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720332349 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE LLC |
| Practice Address |
5589 Greenwich Rd Suite 175 Virginia Beach VA 23462-6565 |
| Mailing Address |
3454 E Stone Mountain Ln Sandy UT 84092-6549 |
| Practice Telephone | 7572169115 |
| Practice Fax Number | 7572169117 |
| Mailing Telephone | 8018082357 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | DERK PARDOE (PARTNER) |
| Authorized Official Telephone | 8018082357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 140177 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801151105 | Liberty Healthcare LLC | Psychologist | 18 Hart St, New Britain, CT 06052-1702 | 2012-07-12 |
| Street Address |
5589 GREENWICH RD SUITE 175 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-6565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723429 | Robert Arthur Nash | Psychiatry & Neurology | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2005-07-11 |
| 1194061697 | Cara Heinrich | Technician, Other | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2013-01-02 |
| 1235474800 | Tammy Cullipher | Technician, Health Information | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2012-12-07 |
| 1225373897 | Linda Willis | Technician, Other | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2012-12-07 |
| 1801155668 | Jessica Walton | Physical Therapy Assistant | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2012-05-14 |
| 1740559558 | Diane Lyn Masson | Physical Therapist | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2011-12-22 |
| 1942582036 | Oac Management LLC | Clinic/Center | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2011-09-14 |
| 1629307632 | Creative Medical Institute, Ltd. | Psychiatry & Neurology | 5589 Greenwich Rd, 175, Virginia Beach, VA 23462-6565 | 2009-12-22 |
| 1104083120 | Harriet R. Mccoy | Technician, Other | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2008-05-19 |
| 1871791533 | Thomas Joseph Berenguer | Obstetrics & Gynecology | 5589 Greenwich Rd, Suite 100, Virginia Beach, VA 23462-6565 | 2007-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1699236026 | Helen Everett Frankos | Family Medicine | 748 Sequoia Way, Virginia Beach, VA 23451-4472 | 2019-03-28 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1538699038 | Promethean Group | Family Medicine | 3920 Vanderhorst Dr, Virginia Beach, VA 23462-7531 | 2017-06-16 |
| 1407385172 | Ashley Watson | Family Medicine | 513 Boswell Ct, Virginia Beach, VA 23452-5857 | 2017-06-07 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| 1053754358 | Jonathan Gellman | Family Medicine | 1200 Lake James Dr, Suite 200, Virginia Beach, VA 23464-6773 | 2013-04-17 |
| 1003155045 | Accurate Medical PC | Family Medicine | 3312 Doncaster Rd, Virginia Beach, VA 23452-5920 | 2013-02-12 |
| 1740529072 | Dalene Cheek Evans | Family Medicine | 1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 | 2013-02-06 |
| 1326334095 | Kari Ann Neamand Cheney | Family Medicine | 1035 Nider Blvd, St 100, Nmcp Branch Health Clinic Boone, Virginia Beach, VA 23459-2731 | 2011-06-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.