Individual provider Active NPI

Liza A. Arceo, MD

  • Anesthesiology Physician
  • Charleston, WV
National Provider Identifier
1730149220
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17975 Issued in WV
Practice address
2157 Greenbrier St
Charleston, WV 25311-9623
Phone
(304) 546-0176
NPI assigned
Mar 27, 2006
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17975 WV Primary

Addresses

Primary practice location

2157 Greenbrier St
Charleston, WV 25311-9623

Mailing address

2157 Greenbrier St
Charleston, WV 25311-9623
Phone (304) 546-0176

Other identifiers 1

IdentifierTypeStateIssuer
0062577000MedicaidWV

Other names 1

  • Liza Antonette Arceo-Frederick Other name

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Service,Inc. Anesthesiology Past Accepting new patients
General Anesthesia Services Inc Anesthesiology Past Accepting new patients
Sheridan Healthcare of West Virginia Inc Anesthesiology PastSince May 21, 2023 Accepting new patients
Eastern Panhandle Anesthesia Associates Past Accepting new patients

Organizations & group practices 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1730149220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 GREENBRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119623",
            "telephone_number": "304-546-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 GREENBRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119623",
            "telephone_number": "304-546-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEO",
        "first_name": "LIZA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "17975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062577000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "ARCEO-FREDERICK",
            "middle_name": "ANTONETTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.