Individual provider Active NPI

Gregory J. Liebscher, MD

  • Plastic Surgery Physician
  • Colo SPGS, CO
National Provider Identifier
1922067263
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
33468 Issued in CO
Practice address
5901 Corporate Dr
Colo SPGS, CO 80919-1941
Phone
(719) 634-2503
Fax
(719) 634-2686
NPI assigned
Mar 23, 2006
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 33468 CO Primary

Addresses

Primary practice location

5901 Corporate Dr
Colo SPGS, CO 80919-1941

Mailing address

5901 Corporate Dr
Colo SPGS, CO 80919-1941
Phone (719) 634-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33468COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Surgery Center, LLC PastSince Dec 30, 2013 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1922067263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 CORPORATE DR",
            "city": "COLO SPGS",
            "state": "CO",
            "postal_code": "809191941",
            "telephone_number": "719-634-2503",
            "fax_number": "719-634-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 CORPORATE DR",
            "city": "COLO SPGS",
            "state": "CO",
            "postal_code": "809191941",
            "telephone_number": "719-634-2503",
            "fax_number": "719-634-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBSCHER",
        "first_name": "GREGORY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "33468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colo SPGS, CO

Sources for this page

Verify at the official NPI Registry.