Active NPI
Livonia Emergency Physicians PLLC
- Emergency Medicine Physician
- Livonia, MI
National Provider Identifier
1508472028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- LIVONIA EMERGENCY PHYSICIANS PLLC
- Practice address
- 36475 5 Mile Rd
Livonia, MI 48154-1971 - Phone
- (954) 939-5000
- Fax
- (484) 342-5201
- NPI assigned
- Sep 21, 2020
- Last updated
- Jan 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (404) 450-4684
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
36475 5 Mile Rd
Livonia, MI 48154-1971
Mailing address
PO Box 80314
Philadelphia, PA 19101-1314
Phone (954) 939-5000
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1508472028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80314",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191011314",
"telephone_number": "954-939-5000",
"fax_number": "484-342-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36475 5 MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541971",
"telephone_number": "954-939-5000",
"fax_number": "484-342-5201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVONIA EMERGENCY PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-21",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "404-450-4684"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
- Livonia Dental Care
- Livonia Dental Office
- Livonia Dermatology PLLC
- Livonia Diagnostic Center,P.C.
- Livonia Drugs Inc. (Livonia Drugs)
- Livonia Express Pharmacy LLC
- Livonia Family Pharmacy LLC (Livonia Family Pharmacy)
- Livonia Family Pharmacy LLC
- Livonia Family Pharmacy LLC
- Livonia Family Physicians, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.