Active NPI
Donald H Lieberman, MD
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1083653760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24447
- Practice address
- 3190 N Swan Road
Camp Lowell Medical Specialists
Tucson, AZ 85712 - Phone
- (520) 547-9700
- Fax
- (520) 547-9719
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24447 | AZ | Primary |
| Rheumatology Physician | 207RR0500X | 24447 | AZ |
Addresses
Primary practice location
3190 N Swan Road
Camp Lowell Medical Specialists
Tucson, AZ 85712
Mailing address
5055 E Broadway Blvd
Suite a-100 Arizona Community Physicians PC
Tucson, AZ 85711-3640
Phone (520) 327-0460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24447 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Pharmacy Services LLC | Past | Accepting new patients | |
| Arizona Community Physician PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tucson, AZ
- NPI 1922141902
-
dba Banner Family Pharmacy-University Medical Center Tucson
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1154384899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1083653760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 E BROADWAY BLVD",
"address_2": "SUITE A-100 ARIZONA COMMUNITY PHYSICIANS PC",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113640",
"telephone_number": "520-327-0460",
"fax_number": "520-795-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 N SWAN ROAD",
"address_2": "CAMP LOWELL MEDICAL SPECIALISTS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-547-9700",
"fax_number": "520-547-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "DONALD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "24447",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AZ",
"license": "24447",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.