Marc E Lieberman MD LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

MARC E LIEBERMAN MD LLC

Practice address

1600 36TH St Ste a
Vero Beach, FL 32960-4875

Phone

(772) 569-7800

Fax

(772) 569-9252

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Marc E Lieberman, MDNPI 1891720488

Title

Physician

Phone

(772) 569-7800

Specialties & licenses 1

Addresses

Other names 1

• MARC E LIEBERMAN MD LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIJFBA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc E Lieberman, M.D. F.A.C.S

  • Otolaryngology/Facial Plastic Surgery Physician
  • Vero Beach, FL
  • NPI 1891720488
  Medicare reassignment NPD Authorized official
• Katsiaryna Serheeuna Huseva Bailor, MD

  • Otolaryngology Physician
  • Oklahoma City, OK
  • NPI 1982861308

  FL, Otolaryngology/Facial Plastic Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1104420801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-569-7800",
            "fax_number": "772-569-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-569-7800",
            "fax_number": "772-569-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC E LIEBERMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-569-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARC E LIEBERMAN MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geoffrey T Manomano
• Donna Manzella-Dailey, MA, CCC-SLP
• Antonio Mapalo
• Marathon Health, LLC
• Marc E Lieberman
• Alain Christopher Marcelin, MD
• Marchelle Hofeldt MD PA
• Marchioli Enterprises Inc.
• Kimberlee Ann Marcil-Wieleba, LCSW
• Damaris Maria Marcos, PHARMD, RPH

• Otolaryngology/Facial Plastic Surgery Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.