Active NPI
Virgil Gene Livingston, MD-DPM
- Foot & Ankle Surgery Podiatrist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO00000166
- Practice address
- 12411 NE 70TH Cir
Vancouver, WA 98682-4885 - Phone
- (602) 615-9915
- NPI assigned
- Jun 29, 2022
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000166 | WA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000166 | WA | Primary |
Addresses
Primary practice location
12411 NE 70TH Cir
Vancouver, WA 98682-4885
Mailing address
12411 NE 70TH Cir Ste 106
Vancouver, WA 98682-4885
Phone (602) 615-9915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000166 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Foot and Ankle Clinic, LLC | Multi-Specialty | Current | Accepting new patients |
| Columbia Foot and Ankle Clinic, LLC | Multi-Specialty | Current | Accepting new patients |
| Columbia Foot and Ankle Clinic-Virgil Gene Livinston | Multi-Specialty | Current | Accepting new patients |
| Medassure Inc | Past | Accepting new patients |
Locations
5701 SW Multnomah Blvd
Portland, OR 97219
Phone (503) 244-1107
16485 SW Pacific Hwy
Tigard, OR 97224
Phone (503) 620-5141
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
1500 3rd Ave
Longview, WA 98632
Phone (360) 423-8800
153 Johns Ct
Shelton, WA 98584
Phone (360) 427-2575
19235 15th Ave NW
Shoreline, WA 98177
Phone (206) 546-2666
7202 NE Highway 99
Ste 106
Vancouver, WA 98665
Phone (360) 207-4504
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Vancouver, WA
- NPI 1073393260
Multi-Specialty, OR
-
- Foot & Ankle Surgery Podiatrist
- Vancouver, WA
- NPI 1326756180
Multi-Specialty
-
- Oxygen Equipment & Supplies (DME)
- Prescott, AZ
- NPI 1841628609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1265164198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 NE 70TH CIR STE 106",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986824885",
"telephone_number": "602-615-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 NE 70TH CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986824885",
"telephone_number": "602-615-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "VIRGIL",
"middle_name": "GENE",
"credential": "MD-DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-29",
"last_updated": "2023-12-13",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000166",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.