Active NPI
Elliot Marsh Livstone, MEDICAL DOCTOR
- Gastroenterology Physician
- Sarasota, FL
National Provider Identifier
1235119900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0042953
- Practice address
- 1515 South Osprey Ave
Suite C 11
Sarasota, FL 34239-2912 - Phone
- (941) 955-0000
- Fax
- (941) 955-1686
- NPI assigned
- Jan 19, 2006
- Last updated
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0042953 | FL | Primary |
| Gastroenterology Physician | 207RG0100X | 15207 | CT |
Addresses
Primary practice location
1515 South Osprey Ave
Suite C 11
Sarasota, FL 34239-2912
Mailing address
1515 South Osprey Ave
Suite C 11
Sarasota, FL 34239-2912
Phone (941) 955-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160614001977 | FL | Order and Referring Only - Gastroenterology | 7214077288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15207 | CT | MD | Gastroenterology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Sarasota, FL
- NPI 1700114501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1235119900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SOUTH OSPREY AVE",
"address_2": "SUITE C 11",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392912",
"telephone_number": "941-955-0000",
"fax_number": "941-955-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SOUTH OSPREY AVE",
"address_2": "SUITE C 11",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392912",
"telephone_number": "941-955-0000",
"fax_number": "941-955-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVSTONE",
"first_name": "ELLIOT",
"middle_name": "MARSH",
"name_prefix": "Dr.",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0042953",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "15207",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.