Active NPI
Jeffrey C Livingston, M.D.
- Maternal & Fetal Medicine Physician
- Sunrise, FL
National Provider Identifier
1669405577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 9500394
- Practice address
- 1613 Harrison Pkwy
BLDG. C - Suite 200
Sunrise, FL 33323-2896 - Phone
- (800) 437-2672
- Fax
- (954) 598-0908
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 35-084222 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | 35-084222 | OH | |
| Critical Care Medicine (Obstetrics & Gynecology) Physician | 207VC0200X | 35-084222 | OH | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 39750 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 39750 | KY | |
| Critical Care Medicine (Obstetrics & Gynecology) Physician | 207VC0200X | 39750 | KY | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 9500394 | NC | Primary |
Addresses
Primary practice location
1613 Harrison Pkwy
BLDG. C - Suite 200
Sunrise, FL 33323-2896
Mailing address
2202 State Ave
Suite 103
Panama City, FL 32405-7601
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5911035 | Medicaid | NC | |
| 64081185 | Medicaid | KY | |
| 52316 | Other | NC | BCBSNC |
| 2491987 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-084222 | OH | MD | Obstetrics & Gynecology Physician |
| 9500394 | NC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Cincinnati Perinatal Associates, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Greater Cincinnati OB/GYN, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Cincinnati, OH
- NPI 1760423941
-
- Maternal & Fetal Medicine Physician
- Cincinnati, OH
- NPI 1679514855
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1669405577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 STATE AVE",
"address_2": "SUITE 103",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "BLDG. C - SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "800-437-2672",
"fax_number": "954-598-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "JEFFREY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OH",
"license": "35-084222",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35-084222",
"primary": false
},
{
"code": "207VC0200X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Critical Care Medicine",
"state": "OH",
"license": "35-084222",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "KY",
"license": "39750",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "39750",
"primary": false
},
{
"code": "207VC0200X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Critical Care Medicine",
"state": "KY",
"license": "39750",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NC",
"license": "9500394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5911035",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64081185",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "52316",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2491987",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.