Otto B Liebmann (NPI# 1023039146, PAC ID# 2668477829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1023039146 |
| PAC ID by PECOS | 2668477829 |
| Professional Enrollment ID | I20080103000684 |
| Full Name | Otto B Liebmann |
| Organization Legal Name | BROWN EMERGENCY MEDICINE |
| Address |
593 Eddy St Providence RI 02903-4923 |
| Phone Number | 4014444000 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7214833169 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 164 Summit Ave, Providence, RI 02906-2853 | 4017933100 | BROWN EMERGENCY MEDICINE |
| 593 Eddy St, Providence, RI 02903-4923 | 4014444000 | BROWN EMERGENCY MEDICINE |
| Organization Legal Name | BROWN EMERGENCY MEDICINE |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory R Lockhart | Pediatric Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Christopher J Cureton | Nurse Practitioner | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Shannon Whittemore | Nurse Practitioner | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Dianne M Black | Nurse Practitioner | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Madalene Boyle | Emergency Medicine | Brown Emergency Medicine | 11 Friendship St, Newport, RI 02840-2209 |
| Achyut Kamat | Emergency Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Jonathan Valente | Pediatric Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Joseph R Lauro | Emergency Medicine | Brown Emergency Medicine | 164 Summit Ave, Providence, RI 02906-2853 |
| Brian Clyne | Emergency Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Rebecca Karb | Emergency Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Street Address |
593 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02903-4923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Austin Scarfo | Anesthesiology | Rhode Island Hospital | 593 Eddy St, Providence, RI 02903-4923 |
| Halina Kuc-mazgaj | Nurse Practitioner | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Julie Morris | Psychologist, Clinical | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Martha C Trimbur | Internal Medicine | Brown Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Regina B Monteiro | Nurse Practitioner | Lifespan Physician Group Inc | 593 Eddy St, Apc 7, Providence, RI 02903-4923 |
| Arnaldo Adolfo Berges | Psychiatry | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Gregory R Lockhart | Pediatric Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Peter W Wolferseder | Certified Registered Nurse Anesthetist (crna) | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Marie A Mills | Certified Registered Nurse Anesthetist (crna) | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Courtney Clark Bilodeau | Internal Medicine | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny R Donahue | Physical Therapy | Episcopal Housing Foundation of Rhode Island | 289 N Main St, Providence, RI 02903-1223 |
| Paige Elizabeth Caffrey | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Marcy E Bernstein | General Surgery | Vohra Wound Physicians of Fl LLC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Sharon Ann Gapasin | Qualified Speech Language Pathologist | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Michael David Bertoncini | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Jonathan Sorensen | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Ann Marie Rameika | Nurse Practitioner | Practitioner Support Services LLP | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Amy Beth Ciarniello | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Dina Mccamish | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Alicia Marie Marshall | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Find all physicians in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PROVIDENCE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Otto B Liebmann.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.