Michael D. Lieberman, M.D.,PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101019492 Issued in VA

Legal business name

MICHAEL D. LIEBERMAN, M.D.,PLLC

Practice address

2729 King St
Alexandria, VA 22302-4008

Phone

(703) 836-8838

NPI assigned

Jul 12, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Lieberman, MD

Title

Owner

Phone

(703) 660-9333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Joanne Kasun, ANP

  • Nurse Practitioner
  • Alexandria, VA
  • NPI 1356574867
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1790097392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 LERIC LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062412",
            "telephone_number": "703-660-9333",
            "fax_number": "703-660-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024008",
            "telephone_number": "703-836-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. LIEBERMAN, M.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-660-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101019492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MHC Healthcare Consulting LLC
• MHHC LLC
• Nazia Mian
• Michael a Redding MD LTD
• Michael a. Royfe M D P C
• Michael K. Obeng, D.D.S., PLLC (Emergency Dental Care USA)
• Michael Mogadam, M.D., Inc.
• Michael V. Massa, M.Ed., CCC Inc.
• Christina Stephanie Michael, D.O.
• Katherine Michaels, BCBA

• Family Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.