Mark W. Livingston, MD00039930

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00024012 Issued in WA

Practice address

2811 Tieton Dr
Yakima, WA 98902-3761

Phone

(509) 575-8000

Fax

(509) 575-8745

NPI assigned

Oct 23, 2006

Last updated

Mar 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Hospital

  • Emergency Care Clinic/Center
  • Goldendale, WA
  • NPI 1780754507
  NPD
• Yakima Valley Memorial Hospital Association

  dba MultiCare Cancer Center Pharmacy - North Star Lodge

  • Pharmacy
  • Yakima, WA
  • NPI 1942300926
  NPD (past)
• Yakima Valley Memorial Physicians

  • Multi-Specialty Clinic/Center
  • Yakima, WA
  • NPI 1154930543
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1679656615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9787",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989090787",
            "telephone_number": "509-574-3350",
            "fax_number": "509-225-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023761",
            "telephone_number": "509-575-8000",
            "fax_number": "509-575-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "MARK",
        "middle_name": "W.",
        "credential": "MD00039930",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00024012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8289233",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Lint
• Stephen G Litchfield, DO
• Little Big Kids Pediatric Dentistry
• George S Liu, M.D.
• Xiaoxin Liu, FNP-BC
• Raquelline Llaguno
• Edwin Llamas
• Jessica Llamas
• Leanna Lockett
• Mark Loes, SUPD, MBA

• Emergency Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.