LIBERTY KNEE CENTER – NPI #1639771348
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

LIBERTY KNEE CENTER is an orthopaedic surgeon located in POULSBO, WA. NPPES has assigned the NPI number 1639771348 to LIBERTY KNEE CENTER on November 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIBERTY KNEE CENTER” is a dba name, the actual legal business name for this organization is LIBERTY ORTHOPEDICS PS. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was previously updated about 5 years ago on Jan 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY KNEE CENTER below.

NPI Profile for
LIBERTY ORTHOPEDICS PS

NPI Number
1639771348
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBERTY ORTHOPEDICS PS
Doing Business As (dba): LIBERTY KNEE CENTER
Primary location
20696 BOND RD NE STE 205
POULSBO, WA 98370-9025
Phone: (360) 930-0222 Fax: (360) 210-1429
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN WEST
PRESIDENT/PROVIDER
Phone: (360) 801-7966
Updated
Certification Date
Dec 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LIBERTY KNEE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA2169137
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.