Lieb Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIEB FAMILY PRACTICE INC

Practice address

188 Industrial Park Rd Ste B
Ebensburg, PA 15931-4125

Phone

(814) 419-8211

Fax

(814) 846-5945

NPI assigned

May 12, 2019

Organization subpart

No

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

Authorized official

Name

Brian Lieb, DONPI 1871598268

Title

Owner

Phone

(814) 419-8211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Brian E Lieb, DO

  • Family Medicine Physician
  • Carrolltown, PA
  • NPI 1871598268
  Medicare reassignment NPD Authorized official
• Diane Michelle Smith, PA-C

  • Medical Physician Assistant
  • Carrolltown, PA
  • NPI 1962663609
  Medicare reassignment

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1104482587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FOREST LN",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157228819",
            "telephone_number": "814-659-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 INDUSTRIAL PARK RD STE B",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314125",
            "telephone_number": "814-419-8211",
            "fax_number": "814-846-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Carrolltown",
            "state": "PA",
            "postal_code": "157228819",
            "country_code": "US",
            "telephone_number": "814-659-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIEB FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-12",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "LIEB",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-419-8211",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William George Leary Jr., RN
• Robert Raymond Leichliter, D.C.
• Jennifer Lepore, MSW
• Barbara A Lewis
• Catherine Jean Lewis, MS BSL
• Susan Elizabeth Lightbourn, M.D.
• Seth Lingenfelter
• Jennifer A. Link, MOTR/L
• Patrick Link, PT, DPT
• Paula M Lloyd, RN

• Family Medicine Physician in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.