Livingston Hospital and Healthcare Services, Inc.
Organization Active NPI Family Medicine Physician · Salem, KY
NPI 1245654094 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1245654094
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 600071 (KY)
- Legal business name
- LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
- Practice address
- 131 Hospital Dr
Salem, KY 42078-8043 - Phone
- (270) 988-2299
- Fax
- (270) 988-3900
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Rod Shane Whittington
- Title
- Ceo
- Phone
- (270) 988-7236
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 12
Practitioners 19
-
Jennifer S Johnson, APRN
-
Stephanie L Mundy, APRN
-
Kristee Croft Shoulders, APRN
-
Sanjay Bose, MD
-
Misha R. Glendening, ARNP
-
Kaitlin Loveless, APRN
-
Demetrius L Patton, M.D.
-
Samantha Samuels, APRN
-
Teresa Rae White, ARNP, FNP-BC
-
Laura Kay Wood, APRN
-
Ghassan Yazigi, MD
-
Amanda J Miley, CNS
-
Toihunta Stubbs, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031230000015 | KY | Part B Supplier - Clinic/Group Practice | 5799692547 |
Receives reassigned benefits from 23 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salem, KY; Grand Rivers, KY; Eddyville, KY; Marion, KY |
National Provider Directory
- Tax ID family
- Livingston Hospital Hea
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 600071 | KY | Yes |
| Podiatrist |
213E00000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Family Nurse Practitioner |
363LF0000X | 600071 | KY |
Addresses
Primary practice location
131 Hospital Dr
Salem, KY 42078-8043
Mailing address
131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-2299
Other names
- LHHS Family Care Walk-In Clinic
Other providers in Salem, KY
- Robert L Knox
- Robin Leidecker
- Justin J Lewis
- Lifeline Homecare of Salem LLC
- Livingston Hospital and Healthcare Services, Inc Cah
- Livingston Hospital and Healthcare Services, Inc.
- Livingston Hospital and Healthcare Services, Inc.
- Livingston Hospital and Healthcare Services, Inc.
- Livingston Hospital and Healthcare Services, Inc.
- Livingston Hospital and Healthcare Services, Inc.
All providers in Salem, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.