MICHAEL LIEB M D P C. (NPI# 1811191588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811191588 |
| Entity Type | Organization |
| Organization Name | MICHAEL LIEB M D P C. |
| Other Organization Name | BUSTLETON GASTROENTEROLOGY ASSOC |
| Practice Address |
2000 Grant Ave Suite 102 Philadelphia PA 19115-4378 |
| Practice Telephone | 2154647222 |
| Practice Fax Number | 2154646025 |
| Mailing Telephone | 2154647222 |
| Mailing Fax Number | 2154646025 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | MICHAEL LIEB (OWNER) |
| Authorized Official Telephone | 2154647222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE | 0498049000 | 01 |
| Other Name | Type Code |
|---|---|
| Bustleton Gastroenterology assoc | Doing Business As Name - Organization |
| Street Address |
2000 GRANT AVE SUITE 102 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-4378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417091 | Yevgeny Lerner | Anesthesiology | 2000 Grant Ave, Suite 101, Philadelphia, PA 19115-4378 | 2005-12-14 |
| 1083111835 | Gs Endoscopy Center LLC | Clinic/Center | 2000 Grant Ave, Philadelphia, PA 19115-4378 | 2018-04-09 |
| 1477968014 | Advanced Spine and Pain of Pa, LLC | Anesthesiology | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2014-06-23 |
| 1194027920 | Grant Surgicenter LLC | Clinic/Center | 2000 Grant Ave, Philadelphia, PA 19115-7287 | 2010-11-30 |
| 1518192202 | Chun Candy Yeung | Dentist | 2000 Grant Ave, Suite 200, Philadelphia, PA 19115-4378 | 2009-05-25 |
| 1225234651 | Ali Khoobehi | Surgery | 2000 Grant Ave, Ste 201, Philadelphia, PA 19115-4378 | 2007-06-22 |
| 1356559850 | Maya Spodik | Internal Medicine | 2000 Grant Ave, Suite 102, Philadelphia, PA 19115-4378 | 2007-05-18 |
| 1609924794 | Kevin Chin | Dentist | 2000 Grant Ave, Suite 200, Philadelphia, PA 19115-4378 | 2007-01-08 |
| 1568527372 | Mark L Bierhoff | Internal Medicine | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2006-12-22 |
| 1912062720 | Eugene M Mayer | Internal Medicine | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013150796 | Richard Mao Wu | Internal Medicine | 132 S. 10th Street, Main Bldg, Ste 430, Philadelphia, PA 19107 | 2009-04-11 |
| 1811148430 | Kian Makipour | Internal Medicine | 3401 North Broad St, Philadelphia, PA 19130 | 2008-10-01 |
| 1982865127 | Shivan Jatin Mehta | Internal Medicine | 423 Guardian Dr, Blockley Hall 1137, Philadelphia, PA 19104-4865 | 2008-06-20 |
| 1730204355 | Rahul Anand Nathwani | Internal Medicine | 132 S 10th St Ste 480, Philadelphia, PA 19107-5244 | 2007-03-20 |
| 1386729705 | Blake Gastroenterology Associates, LLC | Internal Medicine | 6827-31 Germantown Ave, Philadelphia, PA 19119-2113 | 2006-10-25 |
| 1942393830 | John Patrick Lynch | Internal Medicine | 415 Curie Blvd, 600 Crb, Philadelphia, PA 19104-4306 | 2006-10-02 |
| 1962428433 | Keith Joseph Buhl | Internal Medicine | 1403 Rhawn Street, Philadelphia, PA 19111-2430 | 2006-07-15 |
| 1366476020 | Michael J Rosner | Internal Medicine | 4242 Cottman Ave, Philadelphia, PA 19135-1118 | 2006-07-10 |
| 1558300152 | Xiaoli Ma | Internal Medicine | 121 N 9th St, Philadelphia, PA 19107-2410 | 2006-06-06 |
| 1275571945 | Oleg Volchonok | Internal Medicine | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2006-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
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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.