Robert E Livingston III MD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5609260001 Issued in SC

Legal business name

ROBERT E LIVINGSTON III MD

Practice address

2624 Main St
Newberry, SC 29108-4002

Phone

(803) 276-0004

Fax

(803) 276-0006

NPI assigned

Dec 14, 2007

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert E Livingston III, MD

Title

Owner

Phone

(803) 276-0004

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1447433297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 MAIN ST",
            "address_2": "PO BOX 130",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291084002",
            "telephone_number": "803-276-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 MAIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291084002",
            "telephone_number": "803-276-0004",
            "fax_number": "803-276-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E LIVINGSTON III MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-276-0004",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "5609260001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9043",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER",
            "identifier": "5609260001",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050830",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara O'Dell Renwick, OTR/L
• Nancy Charlene Ridge, RN
• Daja Delilah Riggins, M.S., CF-SLP
• Sarah Burnside Riggins
• Amber Nicole Rish, PHARMD
• Robert E Livingston III MD LLC
• Cody Robertson
• Sarah Katherine Roper, DPT
• Kelly L. Rose, M. D.
• Janice E. Ross, MD

• Durable Medical Equipment & Medical Supplies in Newberry, SC
• Providers in Newberry, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.