Active NPI
Livingston Lockbourne Ave Family Health Center
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1649208620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIVINGSTON LOCKBOURNE AVE FAMILY HEALTH CENTER
- Practice address
- 1289 E Livingston Ave
Columbus, OH 43205-2838 - Phone
- (614) 252-0917
- Fax
- (614) 252-6153
- NPI assigned
- Jun 29, 2006
- Last updated
- Feb 4, 2010
- 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
- Mr. Devon D Ratliff, MSA
- Title
- General Manager
- Phone
- (614) 252-0917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1289 E Livingston Ave
Columbus, OH 43205-2838
Mailing address
1289 E Livingston Ave
Columbus, OH 43205-2838
Phone (614) 252-0917
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71454 | Other | OH | AETNA HMO ID |
| 0559417 | Medicaid | OH | |
| CM09933 | Other | OH | RAILROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1649208620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052838",
"telephone_number": "614-252-0917",
"fax_number": "614-252-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1289 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052838",
"telephone_number": "614-252-0917",
"fax_number": "614-252-6153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGSTON LOCKBOURNE AVE FAMILY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "DEVON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "614-252-0917",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID",
"identifier": "71454",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0559417",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "CM09933",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
- Living Independent Futures Everyday
- Living Life Home Care LLC
- Living Life Homecare II LLC
- Living-Water Healthcare Services LLC.
- Living-Water Plus Healthcare Services LLC
- Livingston Lockbourne Home Health Agency
- Livingston Medical Phcy Inc (Livingston Medical Pharmacy)
- Livingston Prescription Pharmacy Inc (Livingston Prescription Pharmacy)
- Devin Livingston, M.D.
- Erin Livingston, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.