Organization Active NPI

Columbia Foot and Ankle Clinic-Virgil Gene Livinston

  • Foot & Ankle Surgery Podiatrist
  • Vancouver, WA
National Provider Identifier
1326756180
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
COLUMBIA FOOT AND ANKLE CLINIC-VIRGIL GENE LIVINSTON
Practice address
12411 NE 70TH Cir Ste 106
Vancouver, WA 98682-4885
Phone
(602) 615-9915
NPI assigned
Nov 10, 2022
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Virgil Gene Livingston, MD-DPMNPI 1265164198
Title
Physician-Podiatrist
Phone
(602) 615-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU
Primary Podiatric Medicine Podiatrist 213EP1101X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

12411 NE 70TH Cir Ste 106
Vancouver, WA 98682-4885

Mailing address

12411 NE 70TH Cir Ste 106
Vancouver, WA 98682-4885
Phone (602) 615-9915

Other identifiers 1

IdentifierTypeStateIssuer
2228399MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Columbia Foot and Ankle Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1326756180",
    "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 STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986824885",
            "telephone_number": "602-615-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FOOT AND ANKLE CLINIC-VIRGIL GENE LIVINSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PHYSICIAN-PODIATRIST",
        "authorized_official_telephone_number": "602-615-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD-DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228399",
            "state": "WA"
        }
    ],
    "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 7, 2023; 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.