Liberata J Pantig, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301031546 Issued in MI

Practice address

1117 S Van Dyke Rd
Suite 400
Bad Axe, MI 48413-8467

Phone

(989) 269-6048

Fax

(989) 269-6174

NPI assigned

Mar 8, 2006

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

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a2aabeb9-840e-4290-b28b-f0bb3ed955f9/

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.

• Harbor Beach Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Harbor Beach, MI
  • NPI 1730146630
  NPD (past)
• St Clair Pulmonary & Critical Care P C

  • Pulmonary Disease Physician
  • Port Huron, MI
  • NPI 1710909478
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1851369722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S VAN DYKE RD",
            "address_2": "SUITE 400",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138467",
            "telephone_number": "989-269-6048",
            "fax_number": "989-269-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S VAN DYKE RD",
            "address_2": "SUITE 400",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484138467",
            "telephone_number": "989-269-6048",
            "fax_number": "989-269-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTIG",
        "first_name": "LIBERATA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301031546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Osentoski, R.PH.
• Michelle Rene Ostosh-Kroetsch, P.A.-C.
• Avelina Oxholm-Dababneh, DO
• Mark W Paganini I, D.D.S.
• Douglas G Pankratz, M.D.
• Wendy Meileing Parker, BCABA
• Justine Paugh, MA, CCC-SLP
• Faith Pena
• Melissa Emily Periso
• Brenda Peruski, RN

• Internal Medicine Physician in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.