Margaret Liederbach, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

58.033131 Issued in OH

Practice address

128 E. Apple St.
Wche 7TH Floor
Dayton, OH 45409

Phone

(937) 208-3771

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1730818642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E. APPLE ST.",
            "address_2": "WCHE 7TH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E. APPLE ST.",
            "address_2": "WCHE 7TH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-208-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDERBACH",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "58.033131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mliederba@premierhealth.com",
            "affiliation": "Y",
            "affiliationName": "Miami Valley Hospital",
            "address_1": "128 E. Apple St.",
            "address_2": "WCHE 7th Floor",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Liberty/Matrix of Oxford LLC
• Liberty/Matrix of Westwood LLC
• Antonio M Licata, D.O.
• Grant Liebe, MD
• Janel Erin Lieber
• Brian Liepold
• Paige Elizabeth Liette, MSW, LIW-S
• Life Beacon Healthcare LLC
• Life Changing Family Care, LLC
• Life Changing Family Care, LLC

• Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.