Richard Lieberman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

76-218 Issued in NM

Practice address

2801 Rodeo Rd
Suite B-13
Santa Fe, NM 87507-6503

Phone

(505) 474-0120

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthfront PC

  • Emergency Medicine Physician
  • Santa Fe, NM
  • NPI 1417901612
  NPD (past)
• Santa Fe Medical Group, LLC

  • Primary Care Clinic/Center
  • Santa Fe, NM
  • NPI 1851401103
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1821066424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 RODEO RD",
            "address_2": "SUITE B13",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076503",
            "telephone_number": "505-474-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RODEO RD",
            "address_2": "SUITE B-13",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076503",
            "telephone_number": "505-474-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "76-218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Licalzi
• Marcie Lichtenstein, FNP
• Tomasa Lidy
• Katelyn Liebenstein, CNP, FNP-C
• Andrew Lieberman
• Chase Lieblein
• Kristen Lieving, LMSW
• Life Choice Hospice of New Mexico, LLC (Compassus - Santa Fe)
• Life Circle
• Life Enhancement Chiropractic, Inc.

• Emergency Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Emergency Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.