Christopher Liberto, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

RN134743 Issued in TN

Practice address

131 Tucker St
Professional Anesthesia Associates
Jackson, TN 38301-4055

Phone

(931) 388-6404

Fax

(931) 388-7119

NPI assigned

Sep 22, 2005

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Medical University of South Carolina College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Center Anesthesia, IncGroup PAC ID 2769629187, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Center Anesthesia Inc.

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1447591730
  Medicare reassignment Care Compare group NPD
• Jackson Clinic PA

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1285629386

  Anesthesiology

  NPD
• Cardiac Anesthesia Group

  • Pain Medicine (Anesthesiology) Physician
  • Jackson, TN
  • NPI 1043309271
  NPD (past)
• Jackson Clinic PA

  dba Jackson Clinc PA DME

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038
  NPD (past)
• Professional Anesthesia Associates

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1568571743
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1053307330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 TUCKER ST",
            "address_2": "PROFESSIONAL ANESTHESIA ASSOCIATES",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "931-388-6404",
            "fax_number": "931-388-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 TUCKER ST",
            "address_2": "PROFESSIONAL ANESTHESIA ASSOCIATES",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "931-388-6404",
            "fax_number": "931-388-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTO",
        "first_name": "CHRISTOPHER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "RN134743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633339",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Lewis
• Molly Lewis
• Taylor Lewis, DO
• LHC, Inc. (Laurelwood Health Care)
• LHCG Ccxxx, LLC
• Life Star Healthcare LLC
• Lifestyle Eye Care PLLC
• Lifeworks Behavioral Health Inc
• Lifeworks Resources, LLC
• Lift Therapy, Inc. (LIFT Therapy)

• Anesthesiology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.