Libeneur Loriston, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0102207847 Issued in VA

Practice address

1900 Electric Rd
Salem, VA 24153-7474

Phone

(540) 776-4000

NPI assigned

May 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative MedicineAlso: Emergency Medicine

Education

Nova Southeastern College of Osteo Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Spring Emergency Group LLCGroup PAC ID 6406103498, 51 clinicians

My Wellness Watch PCGroup PAC ID 8325533243, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lee.loriston@hca6.eclinicaldirectplus.com

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

• Lake Spring Emergency Group, LLC

  • Emergency Medicine Physician
  • Salem, VA
  • NPI 1215429600

  Emergency Medicine, VA

  Medicare reassignment Care Compare group NPD
• My Wellness Watch PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Roanoke, VA
  • NPI 1770456584

  VA

  Medicare reassignment Care Compare group NPD
• Ingleside Emergency Group, LLC

  • Emergency Medicine Physician
  • Low Moor, VA
  • NPI 1144712662

  Emergency Medicine, VA

  Medicare reassignment NPD
• Kingsford Emergency Group, LLC

  • Emergency Medicine Physician
  • Pulaski, VA
  • NPI 1336631480

  Emergency Medicine, VA

  Medicare reassignment NPD
• Wildwood Emergency Group, LLC

  • Emergency Medicine Physician
  • Blacksburg, VA
  • NPI 1013409721

  Emergency Medicine, VA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lewis-Gale Medical Center, LLC

  • General Acute Care Hospital
  • Salem, VA
  • NPI 1619914785

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1124640461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORISTON",
        "first_name": "LIBENEUR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-09",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102207847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Guanming Lo, DO
• Laura Long, CRNA
• Lauren Ivy Long, MD
• Daniel Edward Lonnquist, PH.D.
• Taryme Lopez Diaz, MD
• Laura Lea Love, DNP-FNP-C
• Joyce V. Loyed, PHARMD, CACP
• Lucas Emg Specialists
• Wendy T Lucas, PT
• Katherine Suzanne Luci, PSYD

• All providers in Salem, VA
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.