Dr John Brian Liddy, MD | |
3333 Riverbend Dr, Springfield, OR 97477-8800 | |
(541) 222-3154 | |
(503) 225-9002 |
Full Name | Dr John Brian Liddy |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3333 Riverbend Dr, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568564912 | NPI | - | NPPES |
500637179 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD154919 (Oregon) | Primary |
Entity Name | Oregon Anesthesiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058 |
Entity Name | Northwest Anesthesia Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770531196 PECOS PAC ID: 3274420138 Enrollment ID: O20040304000014 |
Entity Name | Pacific Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1225042575 PECOS PAC ID: 6406990241 Enrollment ID: O20100217000861 |
Entity Name | Cep America - Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235842196 PECOS PAC ID: 3678897915 Enrollment ID: O20230406000262 |
Mailing Address | Practice Location Address |
---|---|
Dr John Brian Liddy, MD Po Box 7247, Springfield, OR 97475-0011 Ph: (541) 686-9551 | Dr John Brian Liddy, MD 3333 Riverbend Dr, Springfield, OR 97477-8800 Ph: (541) 222-3154 |
Albert R Cho, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-686-7300 | |
Mark N Bodily, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Ximeng Yang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 Fax: 541-222-3359 | |
Daniel R Hagengruber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Brian P Jones, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Dorothy A Penaloza, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-3154 Fax: 541-222-3359 | |
Christopher B Hagen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-3154 Fax: 541-222-3359 |