Individual provider Active NPI

Elliot Marsh Livstone, MEDICAL DOCTOR

  • Gastroenterology Physician
  • Sarasota, FL
National Provider Identifier
1235119900
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0042953 Issued in FL
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001977 FL Order and Referring Only - GastroenterologyPractitioner - Gastroenterology 7214077288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15207CTMDGastroenterology 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.

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

Verify at the official NPI Registry.