NPIMap

Organization Active NPI

Liberty Pediatrics PLLC

  • Pediatrics Physician
  • Ann Arbor, MI
National Provider Identifier
1568633253
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301069944 Issued in MI
Legal business name
LIBERTY PEDIATRICS PLLC
Practice address
3200 W Liberty Rd
Suite a
Ann Arbor, MI 48103-9746
Phone
(734) 994-5858
Fax
(734) 994-4322
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Andrew Jon Seiler, MDNPI 1053371351
Title
Member
Phone
(734) 994-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301069944 MI Primary

Addresses

Primary practice location

3200 W Liberty Rd
Suite a
Ann Arbor, MI 48103-9746

Mailing address

3200 W Liberty Rd
Suite a
Ann Arbor, MI 48103-9746
Phone (734) 994-5858

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0366316Liberty Pediatrics3200 Liberty Road, Suite a, Ann Arbor, MI 48103Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3200 W Liberty Rd
Ste A
Ann Arbor, MI 48103
Phone (734) 994-5858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7128/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1568633253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD",
            "address_2": "SUITE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039746",
            "telephone_number": "734-994-5858",
            "fax_number": "734-994-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD",
            "address_2": "SUITE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039746",
            "telephone_number": "734-994-5858",
            "fax_number": "734-994-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SEILER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-994-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301069944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.