D&K Liebow LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

D&K LIEBOW LLC

Doing business as

Southern Vermont Podiatry

Practice address

382 Canal St
Brattleboro, VT 05301-6617

Phone

(802) 254-0202

Fax

(802) 246-1300

NPI assigned

Jul 21, 2006

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Liebow, DPMNPI 1245220615

Title

President

Phone

(802) 254-0202

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southern Vermont Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in VT2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Liebow, D.P.M.

  • Podiatrist
  • Brattleboro, VT
  • NPI 1245220615
  Medicare reassignment Care Compare group Authorized official
• Kimberly Liebow, D.P.M.

  • Podiatrist
  • Brattleboro, VT
  • NPI 1316937782
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1184645723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013020910",
            "telephone_number": "413-772-8500",
            "fax_number": "413-772-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 CANAL ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016617",
            "telephone_number": "802-254-0202",
            "fax_number": "802-246-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&K LIEBOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LIEBOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-254-0202",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": "056-0000157",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012948",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Vermont Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Cuerdon, MS
• Cuyler Cunningham, BS
• Elaine Elizabeth Curry-Smithson, M.A,
• Evelyn Claire Curry, LICSW
• Rebecca Curtis-Brown, RN
• Haley Daigle-Conklin
• Anne Daly, PHARMD
• John S.F. Daly, MD
• Dartmouth-Hitchcock Clinic
• Judith A. Davidson, MA

• Foot & Ankle Surgery Podiatrist in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Foot & Ankle Surgery Podiatrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.