Active NPI
Liv Elizabeth Gorla, M.D.
- Pediatrics Physician
- Glen Allen, VA
National Provider Identifier
1699706382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101237839
- Practice address
- 10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652 - Phone
- (804) 266-9616
- Fax
- (804) 266-8908
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 057838 | GA | |
| Pediatrics Physician | 208000000X | 0101237839 | VA | Primary |
Addresses
Primary practice location
10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652
Mailing address
10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652
Phone (804) 266-9616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561227823B | Medicaid | GA | |
| 561227823A | Medicaid | GA |
Other names 1
- Liv Gorla
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 |
|---|---|---|---|
| 0101237839 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Pediatrics | Past | Accepting new patients |
| Pediatrics, Inc | Past | Accepting new patients | |
| Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- livschneider@tpc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Pediatric Nurse Practitioner
- Glen Allen, VA
- NPI 1629329610
-
- Pediatrics Physician
- Glen Allen, VA
- NPI 1255358065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1699706382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10571 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594652",
"telephone_number": "804-266-9616",
"fax_number": "804-266-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10571 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594652",
"telephone_number": "804-266-9616",
"fax_number": "804-266-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORLA",
"first_name": "LIV",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "057838",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101237839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561227823B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561227823A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIV",
"last_name": "GORLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.