Gerard F. Livaudais, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-11696 Issued in HI

Practice address

39 W Kamehameha Ave
Kahului, HI 96732-2263

Phone

(808) 877-2424

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Community Clinic of Maui, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kahului, HI
  • NPI 1467346916
  NPD (past)
• Straub Clinic & Hospital

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1851443733
  NPD (past)
• Medford Medical Clinic, LLP

  • Family Medicine Physician
  • Medford, OR
  • NPI 1366449662

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1376626283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WALUA PL",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537153",
            "telephone_number": "808-875-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W KAMEHAMEHA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322263",
            "telephone_number": "808-877-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVAUDAIS",
        "first_name": "GERARD",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-11696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500844-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000232033",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda L Nguyen
• Linda L Nguyen OD LLC
• Dominique N Linden, RBT
• Colleen Lisowski
• Hannah Parker Litt, CNM APRN
• Kerieann Stewart Lockhart, RBT
• Connor Logsdon, LMT
• Lokelani 'Ohana
• Megan Long, PT, DPT
• Longs Drug Stores California LLC

• Internal Medicine Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.