Organization Active NPI

Liberty Park Anesthesia Services, LLC

  • Medical Specialty Clinic/Center
  • Vestavia HLS, AL
National Provider Identifier
1669980504
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LIBERTY PARK ANESTHESIA SERVICES, LLC
Practice address
1940 Stonegate Dr Ste 30
Vestavia HLS, AL 35242
Phone
(205) 977-9876
Fax
(205) 977-9976
NPI assigned
Jan 12, 2018
Organization subpart
Yes
Parent organization
CHRISTOPHER B HARMON MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Christopher B Harmon, MDNPI 1497791628
Title
Owner
Phone
(205) 977-9876

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AL Primary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AL

Addresses

Primary practice location

1940 Stonegate Dr Ste 30
Vestavia HLS, AL 35242

Mailing address

1940 Stonegate Dr Ste 30
Vestavia HLS, AL 35242-2540
Phone (205) 977-9876

Other practice location 1

7300 Halcyon Summit Dr
Montgomery, AL 36117-3699
Phone (205) 977-9876

National Provider Directory

National Provider Directory
Part of
Christopher B Harmon MD PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1940 Stonegate Dr
Ste 30
Vestavia Hls, AL 35242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1669980504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 30",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422540",
            "telephone_number": "205-977-9876",
            "fax_number": "205-977-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 30",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-977-9876",
            "fax_number": "205-977-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Halcyon Summit Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173699",
            "country_code": "US",
            "telephone_number": "205-977-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY PARK ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTOPHER B HARMON MD PC",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-977-9876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia HLS, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.