Organization Active NPI

Elliot M. Livstone, MD, PA

  • Gastroenterology Physician
  • Sarasota, FL
National Provider Identifier
1700114501
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0042953 Issued in FL
Legal business name
ELLIOT M. LIVSTONE, MD, PA
Practice address
1515 S Osprey Ave
Suite C11
Sarasota, FL 34239-2939
Phone
(941) 955-0000
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Elliot M Livstone, MD
Title
Ceo
Phone
(941) 955-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME0042953 FL Primary

Addresses

Primary practice location

1515 S Osprey Ave
Suite C11
Sarasota, FL 34239-2939

Mailing address

1515 S Osprey Ave
Suite C11
Sarasota, FL 34239-2939
Phone (941) 955-0000

Other identifiers 9

IdentifierTypeStateIssuer
10D0955291OtherFLCLIA 10D0955291
58421OtherFLBC/BS
6790096001OtherFLCIGNA
P1647052OtherFLOXFORD
0508193OtherFLAETNA
2400764OtherFLGHI
10714272OtherFLCAQH
01103041OtherFLAMERIGROUP
100011714OtherFLRR MEDICARE

National Provider Directory

National Provider Directory

Locations

1515 S Osprey Ave
Ste C11
Sarasota, FL 34239
Phone (941) 365-6556

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1700114501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S OSPREY AVE",
            "address_2": "SUITE C11",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392939",
            "telephone_number": "941-955-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S OSPREY AVE",
            "address_2": "SUITE C11",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392939",
            "telephone_number": "941-955-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT M. LIVSTONE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "LIVSTONE",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-955-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0042953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA 10D0955291",
            "identifier": "10D0955291",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "58421",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6790096001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1647052",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0508193",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2400764",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10714272",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01103041",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100011714",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.