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ERICA L LIEBELT MD NPI 1356338131


NPI Information

NPI: 1356338131
Provider Name: ERICA L LIEBELT, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-1100
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Erica L Liebelt, MD is a pediatric emergency medicine pediatrics in Little Rock, AR. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Erica L Liebelt, MD NPI is 1356338131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS WAY # 512-1
LITTLE ROCK, AR
ZIP 72202-500
Phone: (501) 364-1100
Fax: (501) 364-4082

The NPI 1356338131 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), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 6/5/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0204XPediatricsPediatric Emergency MedicineMD60672684WASHINGTONNo
2208000000XPediatricsE-13933ARKANSASNo
32080T0002XPediatricsMedical ToxicologyE-13933ARKANSASNo
42080P0204XPediatricsPediatric Emergency MedicineE-13933ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11356338131OTHERALABAMATRICARE SOUTH
2009920235MEDICAIDALABAMA
3515-19935OTHERALABAMABCBS
4009914022MEDICAIDALABAMA
5051519935MEDICAIDALABAMA
6515-15179OTHERALABAMABCBS
7515-46207OTHERALABAMABCBS
87624702OTHERALABAMAAETNA

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: 4/28/2024

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.