=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295003721
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIYA LIBER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2011
-----------------------------------------------------
Last Update Date | 08/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 945 BETHESDA DR STE 240
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43701-1880
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-255-6900
-----------------------------------------------------
Fax | 614-255-6901
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 945 BETHESDA DRIVE SUITE 200
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43701-1880
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-454-4788
-----------------------------------------------------
Fax | 740-450-6157
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 35120159
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------