Joseph Liebenrood, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209007056 Issued in IL

Practice address

35 Albany Rd Ste C
Carbondale, IL 62903-7647

Phone

(618) 457-5111

NPI assigned

Dec 24, 2007

Last updated

Jul 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

FDHS Anesthesia LLCGroup PAC ID 2365854718, 20 clinicians

DCHD Health Care Professionals LLCGroup PAC ID 6800910365, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• DCHD Health Care Professionals LLC

  • Specialist
  • Arcadia, FL
  • NPI 1346563897
  Medicare reassignment Care Compare group NPD
• Amsurg Port Orange Anesthesia, LLC

  • Anesthesiology Physician
  • Port Orange, FL
  • NPI 1043654270
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012
  Care Compare group
• FDHS Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Bradenton, FL
  • NPI 1619571361
  Care Compare group

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

• Desoto County Hospital District

  dba Desoto Memorial Hospital

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1356525588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ALBANY RD STE C",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629037647",
            "telephone_number": "618-457-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ALBANY RD STE C",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629037647",
            "telephone_number": "618-457-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBENROOD",
        "first_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "2006023280",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Lence
• Chloe Lenoir
• Hal Aaron Lewis, M.D.
• Elliott Lhospital, D.O.
• Ying Li, L. AC.
• Lifetime Dental Care of Illinois, PC (Dental Group of Carbondale)
• Lifetime Dental Care of Illinois, PC (University Place Dental)
• Ann Limegrover, NP
• Lincare Inc.
• Paula Rae Lindner, M.D.

• Certified Registered Nurse Anesthetist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.