E Franklin Livingstone MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

31013 Issued in AZ

Legal business name

E FRANKLIN LIVINGSTONE MD PC

Practice address

297 Lake Havasu Ave S
Ste 106
Lake Havasu City, AZ 86403-6526

Phone

(928) 854-0011

Fax

(928) 854-0012

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

E Franklin Livingstone MD PC, MDNPI 1447315130

Title

Physician

Phone

(928) 854-0011

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• E. Franklin Livingstone MD PC, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lake Havasu City, AZ
  • NPI 1447315130
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1124202726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 ORO GRANDE BLVD # 1000",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067209",
            "telephone_number": "928-854-0011",
            "fax_number": "928-854-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S",
            "address_2": "STE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-854-0011",
            "fax_number": "928-854-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E FRANKLIN LIVINGSTONE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTONE MD PC",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-854-0011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "31013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "212162",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A14947",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROV #",
            "identifier": "Z74943",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250014204",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0733210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.