Active NPI
Michael W Lieberman, MD PHD
- Anatomic Pathology Physician
- Houston, TX
National Provider Identifier
1316167414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- H6996
- Practice address
- 6565 Fannin Street
Ms205
Houston, TX 77030-2703 - Phone
- (713) 394-6450
- NPI assigned
- Apr 30, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | H6996 | TX | Primary |
Addresses
Primary practice location
6565 Fannin Street
Ms205
Houston, TX 77030-2703
Mailing address
PO Box 4701
Houston, TX 77210-4701
Phone (713) 441-1771
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6996 | TX | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Pathology Associates PLLC | Past | Accepting new patients | |
| Methodist Pathology Associates PLLC | Past | Accepting new patients |
Interoperability endpoints
- mlieberman44495@directhoustonmethodist.org
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1215995584
-
- Anatomic Pathology & Clinical Pathology Physician
- Sugar Land, TX
- NPI 1508824806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316167414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4701",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104701",
"telephone_number": "713-441-1771",
"fax_number": "713-793-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN STREET",
"address_2": "MS205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-394-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TX",
"license": "H6996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.