DR. DANIEL JAMES LIEBERTZ (NPI# 1740592849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740592849 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JAMES LIEBERTZ |
| Credential | M.D. |
| Practice Address |
5209 Lake Washington Blvd Ne Ste 115 Kirkland WA 98033-7355 |
| Practice Telephone | 4258220300 |
| Practice Fax Number | 4258224999 |
| Mailing Telephone | 4258220300 |
| Mailing Fax Number | 4258224999 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
60671191 | WA | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
073020 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5209 LAKE WASHINGTON BLVD NE STE 115 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-7355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093776981 | Sarah Elizabeth Mcmillan | Plastic Surgery | 5209 Lake Washington Blvd Ne, Suite 115, Kirkland, WA 98033-7355 | 2006-03-30 |
| 1215249941 | Yarrow Bay Plastic Surgery Center | Clinic/Center | 5209 Lake Washington Blvd Ne, Suite 115, Kirkland, WA 98033-7355 | 2010-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588611552 | Yarrow Bay Plastic Surgery, Pllc | Otolaryngology | 5209 Lake Washington Blvd, Suite 115, Kirkland, WA 98033-7355 | 2006-05-27 |
| 1477511889 | Ludwig A Allegra | Otolaryngology | 3100 Carillon Point, Kirkland, WA 98033-7306 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588040836 | Seattle Face and Skin, Pllc | Otolaryngology | 200 W. Galer St, Seattle, WA 98119 | 2015-08-09 |
| 1043324130 | Christopher Philip Nyte | Otolaryngology | 27539 Maple Valley Black Diamond Rd Se, Suite D101, Maple Valley, WA 98038-5155 | 2006-08-18 |
| 1598720492 | Patrick Edward Henderson | Otolaryngology | 319 E Pioneer Ave, Montesano, WA 98563 | 2006-04-20 |
| 1356736730 | Sarah Mazher Kidwai | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-2305 | 2015-04-01 |
| 1205147659 | Jason D. Roos | Otolaryngology | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2010-06-30 |
| 1700010642 | Ear Nose Throat and Plastic Surgery Associates of The South Sound Ps | Otolaryngology | 310 6th St Ne, Auburn, WA 98002-4342 | 2009-05-06 |
| 1679745871 | Marc Hale Hohman | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2008-03-27 |
| 1942498357 | Michael James Nuara | Otolaryngology | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-10-10 |
| 1366642050 | Tobias J Pincock | Otolaryngology | 600 Broadway, Suite 280, Seattle, WA 98122-5395 | 2007-07-20 |
| 1497898969 | Kristen Sean Moe | Otolaryngology | 325 9th Ave, Seattle, WA 98104-2420 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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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.