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LIBERTY HEALTHCARE LLC
NPI 1720332349
Family Medicine in Virginia Beach, VA

Active since November 05, 2012
5589 GREENWICH RD, SUITE 175, VIRGINIA BEACH, VA 23462(757) 216-9115(757) 216-9117 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY HEALTHCARE LLC (NPI 1720332349) is a healthcare organization registered as a family medicine in Virginia Beach, Virginia and active in the NPI registry since November 2012. The organization lists Derk Pardoe, Partner, as its authorized official.

NPPES Registry Identity

NPI1720332349
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIBERTY HEALTHCARE LLC
Location Address5589 GREENWICH RD, SUITE 175Virginia Beach, VA 23462-6565
Mailing Address3454 E Stone Mountain LnSandy, UT 84092-6549 · (801) 808-2357
Phone(757) 216-9115
Fax(757) 216-9117
Organization SubpartNo
Authorized OfficialDerk PardoePartner · (801) 808-2357
Enumeration DateNovember 5, 2012
✔ NPI 1720332349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 140177
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5589 GREENWICH RD, Virginia Beach, VA 23462
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRIET R. MCCOY NP
Nurse Practitioner (Family)
5589 GREENWICH RD, SUITE 175
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 216-9115
CARA HEINRICH R.T.(R)(M)
Technician, Other
5589 GREENWICH RD, #175
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 434-3970
DR. ROBERT ARTHUR NASH M.D.
Psychiatry & Neurology (Neurology)
5589 GREENWICH RD, SUITE 175
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 490-9311
LINDA WILLIS
Technician, Other
5589 GREENWICH RD, #175
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 216-9115
TAMMY CULLIPHER
Technician, Health Information
5589 GREENWICH RD, #175
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 216-9115
JESSICA MISTY BOWAB COTA, CHW, DOULA
Doula
5589 GREENWICH RD
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 401-4435
KATHLEEN VIRGINIA STOETZEL NP
Nurse Practitioner (Acute Care)
5589 GREENWICH RD
VIRGINIA BEACH, VA 23462
Virginia Beach City (888) 628-8272
CREATIVE MEDICAL INSTITUTE, LTD.
Psychiatry & Neurology (Neurology)
5589 GREENWICH RD, 175
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 490-9311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Healthcare LLC's NPI number?

The NPI number for Liberty Healthcare LLC is 1720332349. It was assigned to this organization in the NPPES registry on November 5, 2012.

Where is Liberty Healthcare LLC located?

Liberty Healthcare LLC is located at 5589 Greenwich Rd Suite 175, Virginia Beach, VA 23462. The listed phone number is (757) 216-9115.

What is Liberty Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Liberty Healthcare LLC was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.