Live Oak Medical Associates, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIVE OAK MEDICAL ASSOCIATES, P.A.

Practice address

2896 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3146

Phone

(850) 932-2203

Fax

(850) 934-0050

NPI assigned

Feb 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward R Halfon

Title

Administrator

Phone

(850) 932-2203

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8885/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Pennington, M.D.

  • Internal Medicine Physician
  • Gulf Breeze, FL
  • NPI 1093859746
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003951138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633146",
            "telephone_number": "850-932-2203",
            "fax_number": "850-934-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633146",
            "telephone_number": "850-932-2203",
            "fax_number": "850-934-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HALFON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-932-2203"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD1897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irving Richardson Lester, DDS
• Shannon Farley Leveille, BCBA
• Rachel Ley
• Lighthouse Lasers Inc
• Little Talks LLC
• Live Oak Minds LLC
• Benjamin F Lloyd, MD
• Benjamin James Lockhart, DPT
• Gabriella Lockhart
• Long Term Care of Gulf Breeze LLC

• Family Medicine Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.