Dr. Gary a. Lieberman, P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00532 Issued in MD

Legal business name

DR. GARY A. LIEBERMAN, P.A.

Practice address

10313 Georgia Ave Ste 105
Silver Spring, MD 20902-5006

Phone

(301) 681-8400

Fax

(301) 681-3339

NPI assigned

Jul 15, 2005

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Holly M. Beck, D.P.M.NPI 1912938481

Title

Podiatrist

Phone

(301) 681-8400

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Four Corners Ambulatory Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Silver Spring, MD
  • NPI 1285633818

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly Beck, DPM

  • Podiatrist
  • Silver Spring, MD
  • NPI 1912938481

  DC

  Medicare reassignment NPD Authorized official
• Gary A Lieberman, D.P.M.

  • Podiatrist
  • Silver Spring, MD
  • NPI 1336338094

  DC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1023017654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-8400",
            "fax_number": "301-681-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-8400",
            "fax_number": "301-681-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY A. LIEBERMAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "301-681-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00532",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "00532",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "00532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.