Olaf U Lieberg, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

118724 Issued in NY

Practice address

789 Pre Emption Rd
Suite 600
Geneva, NY 14456-2069

Phone

(315) 719-0060

Fax

(315) 719-0230

NPI assigned

May 24, 2006

Last updated

Oct 29, 2009By 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 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Finger Lakes Bone and Joint LLP

  • Diagnostic Radiology Physician
  • Geneva, NY
  • NPI 1851346159
  NPD (past)
• FLH Medical, PC

  • Gastroenterology Physician
  • Geneva, NY
  • NPI 1164766325
  NPD (past)
• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  NPD (past)
• Interlakes Orthopaedic Surgery,PC

  • Orthopaedic Surgery Physician
  • Geneva, NY
  • NPI 1912924713

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1417902867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144568077",
            "telephone_number": "315-719-0060",
            "fax_number": "315-719-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 PRE EMPTION RD",
            "address_2": "SUITE 600",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562069",
            "telephone_number": "315-719-0060",
            "fax_number": "315-719-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERG",
        "first_name": "OLAF",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "118724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0598530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100675CU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00436508",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCHESTER BLUE SHIELD",
            "identifier": "P030118724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00307208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010118724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1187244W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Leguyader, M.D.
• Adelaida Leon-Paliotti, LMSW
• Jessica Lesczynski
• Zachery Bruce Lewis, PHARMD
• Lisa Marie Lichak
• James Lincoln, MD
• William H Livingston, M.D.
• Lochland School, Inc.
• Lowry Chiropractic & Wellness Care PC
• Brian M Lowry, DC

• Sports Medicine (Orthopaedic Surgery) Physician in Geneva, NY
• Providers in Geneva, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.