Livonia & Lima Family Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIVONIA & LIMA FAMILY MEDICINE PLLC

Practice address

5 Washington St
Livonia, NY 14487-9738

Phone

(585) 472-5945

Fax

(888) 459-2228

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Julian Wright Walters, MD

Title

Owner

Phone

(585) 472-5945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1730409996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST",
            "address_2": "PO BOX 160",
            "city": "LIVONIA",
            "state": "NY",
            "postal_code": "144879738",
            "telephone_number": "585-472-5945",
            "fax_number": "888-459-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST",
            "city": "LIVONIA",
            "state": "NY",
            "postal_code": "144879738",
            "telephone_number": "585-472-5945",
            "fax_number": "888-459-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA & LIMA FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JULIAN WRIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-472-5945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthiia Johnston
• Jeanne Marie Kaminsky
• Heather Kurtz
• Emily June Kyle, MS, RDN
• Cynthia Ann Leidlein
• Livonia Central School District
• Megan Elizabeth Lockwood, COTA
• Brooke Mallaber
• Anna Katherine Martz, CNA,LPN
• Bree Danielle Masterson-Dempsey, SLP

• Primary Care Clinic/Center in Livonia, NY
• Providers in Livonia, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.