| NPI | 1104883537 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-04-28 |
| Last Updated | 2023-03-07 |
| Mailing Address | 3533 Southern Blvd, Ste 4600 Kettering, OH 45449-1273 United States Phone: (937) 296-0167 | Fax: (937) 297-2330 📍 View Map |
| Primary Practice Address | 3533 Southern Blvd, Ste 4600 Kettering, OH 45449-1273 United States Phone: (937) 296-0167 | Fax: (937) 297-2330 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 000000009392 | Anthem Pin |
| MEDICAID | OH | 0589144 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207VG0400X – Obstetrics & Gynecology, Gynecology | OH | 35051994L |
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About NPI 1104883537
Cathy E Liesner MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104883537. The primary specialty listed is Obstetrics & Gynecology, Gynecology. The provider is located in Kettering, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104883537?
NPI 1104883537 belongs to Cathy E Liesner MD, a Obstetrics & Gynecology, Gynecology in Kettering, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104883537 active?
The current status of NPI 1104883537 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1104883537?
NPI 1104883537 is classified under the taxonomy Obstetrics & Gynecology, Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104883537?
You can verify NPI 1104883537 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104883537?
The primary practice address on file for NPI 1104883537 is 3533 Southern Blvd, Kettering, OH 45449-1273. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104883537 issued?
NPI 1104883537 was first issued (enumerated) on 2006-04-28. The NPPES record was last updated on 2023-03-07.
Practice Location Map
Cathy E Liesner is located at 3533 Southern Blvd, Kettering, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cathy E Liesner. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104883537. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology, Gynecology | 35051994L | OH |