Chuck Livingston PA PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

CHUCK LIVINGSTON PA PLLC

Practice address

61 Main St
Suite 5
Geneseo, NY 14454

Phone

(585) 243-7620

Fax

(585) 243-1132

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Charles M Livingston, PANPI 1174625537

Title

Owner

Phone

(585) 243-7620

Specialties & licenses 1

Addresses

Other names 1

• Southerntier Sports Medicine and Urgent Care Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Mark Livingston, PA

  • Surgical Physician Assistant
  • Geneseo, NY
  • NPI 1174625537
  NPD (past) Authorized official
• Kenneth Veenema, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Wheaton, MD
  • NPI 1356369383
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1487749073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "SUITE 5",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-243-7620",
            "fax_number": "585-243-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "SUITE 5",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-243-7620",
            "fax_number": "585-243-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUCK LIVINGSTON PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-243-7620",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southerntier Sports Medicine and Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Peter H. Cormack, PH.D.
• Peter Michael D'Amigo, RPH
• Heather A Dailor, NP

• Sports Medicine (Orthopaedic Surgery) Physician in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.