Clive Levine, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R8936 Issued in MO

Practice address

508 Los Nidos Dr
Santa Fe, NM 87501-8356

Phone

(505) 989-3790

NPI assigned

Apr 9, 2013

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1275976284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 LOS NIDOS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018356",
            "telephone_number": "505-989-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LOS NIDOS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018356",
            "telephone_number": "505-989-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "CLIVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R8936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barri J Lester, D.O.M.
• Terry L Lester, MD
• Gina Marie Letizia, M.A, LMHC
• Lee S Levin, MD
• Louis Richard Levin, PH.D.
• Harriet Levine
• Jacqueline Zeller Levine, PH.D.
• Rhona Sandra Levine, MFT
• Aviva Levy Faust, IBCLC
• Molly Marie Levy

• General Practice Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.

Verify at the official NPI Registry.