Livingston Pediatric Clinic PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

LIVINGSTON PEDIATRIC CLINIC PA

Practice address

206 S College Ave
Cleveland, TX 77327-4504

Phone

(281) 592-6000

Fax

(936) 328-8815

NPI assigned

Nov 2, 2007

Last updated

Apr 20, 2008By 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

Julie Lairmore

Title

Practice Administrator

Phone

(936) 328-8812

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Livingston Clinic TX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Livingston Pediatric Clinic PA

  • Pediatrics Physician
  • Livingston, TX
  • NPI 1891848297
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBJEAA

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609055904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OGLETREE DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516783",
            "telephone_number": "936-328-8812",
            "fax_number": "936-328-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274504",
            "telephone_number": "281-592-6000",
            "fax_number": "936-328-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON PEDIATRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LAIRMORE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "936-328-8812"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0045LZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rebecca L Lujan, LPCA, LCDC
• Susan Elaine Lunson, D.D.S.
• Barbara Madison, RPH
• Majesty Pharmacy LLC

• Pediatric Adolescent Medicine Physician in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.