Organization Active NPI

Gregory J Liebscher, MD, PC

  • Plastic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1659634756
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
33468 Issued in CO
Legal business name
GREGORY J LIEBSCHER, MD, PC
Practice address
5901 Corporate Dr
Colorado Springs, CO 80919-1941
Phone
(719) 634-2503
Fax
(719) 634-2686
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Dr. Gregory J Liebscher, MD
Title
President
Phone
(719) 634-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 33468 CO Primary

Addresses

Primary practice location

5901 Corporate Dr
Colorado Springs, CO 80919-1941

Mailing address

5901 Corporate Dr
Colorado Springs, CO 80919-1941
Phone (719) 634-2503

Other identifiers 1

IdentifierTypeStateIssuer
49484281MedicaidCO

National Provider Directory

National Provider Directory

Locations

5901 Corporate Dr
Colorado Springs, CO 80919
Phone (719) 355-1956

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1659634756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 CORPORATE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191941",
            "telephone_number": "719-634-2503",
            "fax_number": "719-634-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 CORPORATE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191941",
            "telephone_number": "719-634-2503",
            "fax_number": "719-634-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J LIEBSCHER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "LIEBSCHER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-634-2503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "33468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49484281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.