Joseph C. Livengood, M.D., Prof. LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

JOSEPH C. LIVENGOOD, M.D., PROF. LLC

Doing business as

Joseph C Livengood, MD, PLLC

Practice address

1979 Peger Rd
Fairbanks, AK 99709-5257

Phone

(907) 370-2533

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Livengood, MDNPI 1518948447

Title

Member

Phone

(907) 370-2533

Specialties & licenses 1

Addresses

Other names 1

• Joseph C Livengood, MD, PLLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Charles Livengood, M.D.

  • Surgery Physician
  • Fairbanks, AK
  • NPI 1518948447
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1689247652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 HAIDA LN",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997122925",
            "telephone_number": "907-370-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 PEGER RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095257",
            "telephone_number": "907-370-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Gaffney Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "997031366",
            "country_code": "US",
            "telephone_number": "907-370-2533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "CO",
            "postal_code": "804669714",
            "country_code": "US",
            "telephone_number": "907-370-2533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 Gaffney Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "997031366",
            "country_code": "US",
            "telephone_number": "907-370-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH C. LIVENGOOD, M.D., PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-370-2533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joseph.Livengood@alaska.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1979 Peger Rd",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997095257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Joseph C Livengood, MD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joseph C Livengood, MD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Jordan, RBT
• Lakesha Shara Jordan
• Heather Jorgensen, LMT
• Reilly Jorgensen
• Christine A Jorissen
• Joseph Daniel Grimes
• Anna Joseph
• Jackqueline C Joseph
• Michelle D Joseph
• Gail H Joubert

• Emergency Care Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Emergency Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.