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SAMUEL LIEBSON D.P.M. NPI 1225116445


NPI Information

NPI: 1225116445
Provider Name: SAMUEL LIEBSON, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
1597 DEER PARK RD
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-6428
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Samuel Liebson, D.P.M. is a foot surgery podiatrist in Port Angeles, WA with 40 years of experience. Samuel Liebson, D.P.M. NPI is 1225116445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1984

The provider's business location address is:

1597 DEER PARK RD
PORT ANGELES, WA
ZIP 98362-264
Phone: (360) 452-6428
Fax: (360) 457-9012

The NPI 1225116445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)

The enumeration date for this NPI number is 11/2/2006 and was last updated on 3/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery2280OHIONo
2213ES0131XPodiatristFoot Surgery1755MASSACHUSETTSNo
3213ES0131XPodiatristFoot SurgeryN3760NEW YORKNo
4213ES0131XPodiatristFoot Surgery60015889WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G8910070MEDICARE PINWASHINGTON
2T80738MEDICARE UPINOHIO
36699260001MEDICARE NSCWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.