Active NPI
Elliot M. Livstone, MD, PA
- Gastroenterology Physician
- Sarasota, FL
National Provider Identifier
1700114501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0042953
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D0955291 | Other | FL | CLIA 10D0955291 |
| 58421 | Other | FL | BC/BS |
| 6790096001 | Other | FL | CIGNA |
| P1647052 | Other | FL | OXFORD |
| 0508193 | Other | FL | AETNA |
| 2400764 | Other | FL | GHI |
| 10714272 | Other | FL | CAQH |
| 01103041 | Other | FL | AMERIGROUP |
| 100011714 | Other | FL | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.