NPIMap

Organization Active NPI

Liv Specialty Care CT PC

  • Multi-Specialty Clinic/Center
  • Annapolis, MD
National Provider Identifier
1245101039
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LIV SPECIALTY CARE CT PC
Practice address
2635 Riva Rd Ste 104
Annapolis, MD 21401-7430
Phone
(410) 847-2063
NPI assigned
Sep 15, 2025
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Woodruff Hall Baum
Title
Ceo
Phone
(646) 568-0193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2635 Riva Rd Ste 104
Annapolis, MD 21401-7430

Mailing address

4900 Centennial Blvd Ste 300
Nashville, TN 37209-1105

National Provider Directory

National Provider Directory
Tax ID family
Liv Specialty Care CT PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1245101039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CENTENNIAL BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 RIVA RD STE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017430",
            "telephone_number": "410-847-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV SPECIALTY CARE CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "WOODRUFF",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-568-0193"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.