{"npi":"1417902867","type":"NPI-1","status":"active","name":{"display":"Dr. Olaf Lieberg MD","other":[],"first":"OLAF","last":"LIEBERG","middle":"U","credential":"MD"},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":"NY","license":"118724"}]},"addresses":[{"purpose":"LOCATION","street_1":"789 PRE EMPTION RD","city":"GENEVA","state":"NY","postal_code":"144562069","country_code":"US","street_2":"SUITE 600","phone":"3157190060","fax":"3157190230"},{"purpose":"MAILING","street_1":"PO BOX 1077","city":"GENEVA","state":"NY","postal_code":"144568077","country_code":"US","phone":"3157190060","fax":"3157190230"}],"license":{"state":"NY","number":"118724"},"identifiers":[{"type_code":"01","label":"Other","value":"0598530","state":null,"issuer":"GHI"},{"type_code":"01","label":"Other","value":"100675CU","state":null,"issuer":"PREFERRED CARE"},{"type_code":"05","label":"Medicaid","value":"00436508","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"P030118724","state":null,"issuer":"ROCHESTER BLUE SHIELD"},{"type_code":"01","label":"Other","value":"P00307208","state":null,"issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"P010118724","state":null,"issuer":"BLUE CHOICE"},{"type_code":"01","label":"Other","value":"1187244W","state":"NY","issuer":"WORKERS COMPENSATION"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-24","last_updated":"2009-10-29","_meta":{"source":"NPPES","snapshot_date":"2009-10-29","doc_url":"https://findmynpi.com/api"}}