Organization Active NPI

Stephen K. Liao M.D. PC

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1992751010
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24064 Issued in AZ
Legal business name
STEPHEN K. LIAO M.D. PC
Practice address
2181 W Orange Grove Rd
#185
Tucson, AZ 85741-3118
Phone
(520) 575-5766
Fax
(520) 575-5593
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Stephen K Liao, M.D.NPI 1548209075
Title
President
Phone
(520) 544-5178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 24064 AZ Primary

Addresses

Primary practice location

2181 W Orange Grove Rd
#185
Tucson, AZ 85741-3118

Mailing address

6241 N Placita de Luis
Tucson, AZ 85718-2736
Phone (520) 544-5178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060808000480 AZ Part B Supplier - Clinic/Group Practice 2769485978 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

2181 W Orange Grove Rd
Ste 185
Tucson, AZ 85741
Phone (520) 575-5766

1845 W Orange Grove Rd
Ste 107
Tucson, AZ 85704
Phone (520) 525-5766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1992751010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 N PLACITA DE LUIS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857182736",
            "telephone_number": "520-544-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 W ORANGE GROVE RD",
            "address_2": "#185",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-575-5766",
            "fax_number": "520-575-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN K. LIAO M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-544-5178",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.