Active NPI
William J Livesay Jr DO
- Physical Medicine & Rehabilitation Physician
- N Charleston, SC
National Provider Identifier
1558533588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3910
- Legal business name
- WILLIAM J LIVESAY JR DO
- Practice address
- 9181 Medcom St
N Charleston, SC 29406-9168 - Phone
- (843) 266-9002
- NPI assigned
- Mar 31, 2008
- 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
- Dr. William J Livesay Jr., MD
- Title
- Owner
- Phone
- (843) 367-0872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3910 | AZ | Primary |
Addresses
Primary practice location
9181 Medcom St
N Charleston, SC 29406-9168
Mailing address
125D Wappoo Drive
Charleston, SC 29412
Phone (843) 266-9002
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1558533588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125D WAPPOO DRIVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29412",
"telephone_number": "843-266-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9181 MEDCOM ST",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069168",
"telephone_number": "843-266-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J LIVESAY JR DO",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "LIVESAY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-367-0872",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "3910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.