Ronald Livingston, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3348 Issued in TX

Practice address

1100 W Reynosa St
De Leon, TX 76444

Phone

(254) 893-5895

Fax

(254) 893-5222

NPI assigned

Apr 17, 2007

Last updated

Mar 25, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optumcare New Mexico LLC

  dba DaVita Medical Group

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1487870655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA ST",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895",
            "fax_number": "254-893-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA ST",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895",
            "fax_number": "254-893-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768015918",
            "country_code": "US",
            "telephone_number": "325-646-0704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3804 Highway 377 S",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768015120",
            "country_code": "US",
            "telephone_number": "325-643-5167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 River North Blvd",
            "address_purpose": "LOCATION",
            "city": "Stephenville",
            "state": "TX",
            "postal_code": "764011804",
            "country_code": "US",
            "telephone_number": "254-965-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E3348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H4300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arden John Hill, PHARMD
• Hills Pills and Sundries (De Leon Pharmacy)
• Joe C Hubbard Jr., MD
• Deanna Krause
• Douglas Eugene Krug, PH.D.
• Brenda Madera, FNP-BC
• Elizbeth Martinez
• Madeline Middleton
• Laci Nickerson, MS, CCC-SLP
• Betsy Jeanne Robinett, CPM

• Family Medicine Physician in De Leon, TX
• Providers in De Leon, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.