Peter Livingston, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

ME17184 Issued in FL

Practice address

3501 Johnson St
Hollywood, FL 33021-5421

Phone

(954) 987-2000

Fax

(954) 437-6628

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiology Associates of Hollywood, Inc.

  • Diagnostic Radiology Physician
  • South Miami, FL
  • NPI 1992191928
  NPD (past)
• Sunrise Medical Group I, LLC

  • Neurology Physician
  • Hollywood, FL
  • NPI 1902185143
  NPD (past)
• Sunrise Medical Group Inc

  • Neurology Physician
  • Hollywood, FL
  • NPI 1912957697
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1235132358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "address_2": "STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246456",
            "telephone_number": "954-437-4800",
            "fax_number": "954-437-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421",
            "telephone_number": "954-987-2000",
            "fax_number": "954-437-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME17184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "93274",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058232800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Live & Dream Community Mental Health Inc (Live and Dream Medical Group)
• Live & Dream Community Mental Health Inc
• Live Free Wellness Institute LLC
• Living Forward (Living Forward LLC)
• Living Free Institute LLC (Live Free Institute)
• Katelyn Bella Lizano
• Niobis Sara Llera
• Rachel Llerena
• Errol S Lloyd, MD
• Lo Fi Wellness PLLC

• Neuroradiology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.