Active NPI
Gregory J. Liebscher, MD
- Plastic Surgery Physician
- Colo SPGS, CO
National Provider Identifier
1922067263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 33468
- Practice address
- 5901 Corporate Dr
Colo SPGS, CO 80919-1941 - Phone
- (719) 634-2503
- Fax
- (719) 634-2686
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LIA35161 | Other | CO | BLUE SHIELD |
| 01334689 | Medicaid | CO |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33468 | CO | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Surgery Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1861663098
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "LIA35161",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01334689",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colo SPGS, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.