Active NPI
Curtis Charles Lieber, P.A.
- Medical Physician Assistant
- Oswego, NY
National Provider Identifier
1457477499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 015635
- Practice address
- 10 George St
Oswego, NY 13126-3276 - Phone
- (315) 598-4790
- Fax
- (315) 593-6195
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 015635 | NY | Primary |
Addresses
Primary practice location
10 George St
Oswego, NY 13126-3276
Mailing address
239 Oneida St
Fulton, NY 13069-1228
Phone (315) 598-4715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02997217 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1457477499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 ONEIDA ST",
"city": "FULTON",
"state": "NY",
"postal_code": "130691228",
"telephone_number": "315-598-4715",
"fax_number": "315-598-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GEORGE ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131263276",
"telephone_number": "315-598-4790",
"fax_number": "315-593-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBER",
"first_name": "CURTIS",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "015635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02997217",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
- Carly Anne Leworthy, MSED
- Stephanie Liberati, OTR/L
- Ashley Licata, LMSW
- Anthony Victor Licatese, D.C.
- Michelle G Licciardello, PT, CERT MDT
- Christina Marie Liepke, M.D.
- Matthew John Liepke, M.D.
- Light House Family Chiropractic, P.C.
- Lighthouse Medical Transport LLC
- Jacqueline Diane Lilly, PHD APRN BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.