Individual provider Active NPI

Ariane U Lieberman, M.D.

  • Cardiovascular Disease Physician
  • Kingstree, SC
National Provider Identifier
1548262124
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17689 Issued in SC
Practice address
402 Nelson Blvd
Suite 100
Kingstree, SC 29556-4058
Phone
(843) 355-5353
Fax
(843) 355-5357
NPI assigned
Aug 12, 2005
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17689 SC Primary

Addresses

Primary practice location

402 Nelson Blvd
Suite 100
Kingstree, SC 29556-4058

Mailing address

PO Box 23467
New York, NY 10087-3467
Phone (843) 792-6200

Other identifiers 2

IdentifierTypeStateIssuer
176892MedicaidSC
P00754405OtherSCRAILROAD MC ID-RSFPN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000547 SC Practitioner - Cardiovascular Disease (Cardiology) 1355418393 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17689SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Dec 19, 2022 Accepting new patients
Musc Community Physicians Current Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 1, 1996 Accepting new patients
Waccamaw Community Hospital CurrentSince Nov 5, 2002 Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 1, 1996 Accepting new patients
Musc Community Physicians CurrentSince Dec 19, 2022 Accepting new patients
Inlet Cardiopulmonary & Associates, PA Cardiovascular Disease PastSince Jul 1, 1998 Accepting new patients
Inlet Cardiopulmonary & Associates, PA Cardiovascular Disease Past Accepting new patients
LB & KM LLC Cardiovascular Disease Past Accepting new patients
Inlet Pulmonary Critical Care and Sleep Medicine, PA PastSince Jul 1, 2016 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

402 Nelson Blvd
Ste 100
Kingstree, SC 29556
Phone (843) 355-5353

500 Thurgood Marshall Hwy
Ste G
Kingstree, SC 29556
Phone (843) 355-0180

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFHAD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1548262124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23467",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873467",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NELSON BLVD",
            "address_2": "SUITE 100",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564058",
            "telephone_number": "843-355-5353",
            "fax_number": "843-355-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "ARIANE",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "17689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176892",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC ID-RSFPN",
            "identifier": "P00754405",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "402 Nelson Blvd",
            "address_2": "Suite 100",
            "city": "Kingstree",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295564058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

Verify at the official NPI Registry.