Liberty Anesthesia & Pain, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036083169 Issued in IL

Legal business name

LIBERTY ANESTHESIA & PAIN, INC.

Practice address

1634 Avenue of the Cities
Moline, IL 61265-4860

Phone

(309) 762-9711

Fax

(309) 762-9747

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Mohammad I Hussain, MD

Title

Owner

Phone

(847) 409-0410

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1780008300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 RIVER PARK DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600484204",
            "telephone_number": "847-281-7235",
            "fax_number": "847-409-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "309-762-9711",
            "fax_number": "309-762-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ANESTHESIA & PAIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-409-0410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036083169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036083169",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36845020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Edward Lemon, D.D.S.
• John Henry Leno, M.D. FACOG
• Rick Theuninck Leppo, D.M.D.
• Cameron Lerminez, PSY.D
• Tonya R Lewis, CRNA
• Sangin Lim
• Dana Lindemann, PH.D., BCBA
• Barbara Ann Lindman, M.D.
• Christine N Lindorfer, MOTR/L
• Clyde Anthony Lipp, LCPC

• Anesthesiology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.