NPIMap

Organization Active NPI

John M Livingston MD PA

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1750652384
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOHN M LIVINGSTON MD PA
Practice address
8756 W Emerald St
Suite 136
Boise, ID 83704-4831
Phone
(208) 853-3051
Fax
(208) 853-3053
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. John M Livingston, MDNPI 1013064641
Title
Owner
Phone
(208) 853-3051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

8756 W Emerald St
Suite 136
Boise, ID 83704-4831

Mailing address

8756 W Emerald St
Suite 136
Boise, ID 83704-4831
Phone (208) 853-3051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1750652384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8756 W EMERALD ST",
            "address_2": "SUITE 136",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044831",
            "telephone_number": "208-853-3051",
            "fax_number": "208-853-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 W EMERALD ST",
            "address_2": "SUITE 136",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044831",
            "telephone_number": "208-853-3051",
            "fax_number": "208-853-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M LIVINGSTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-853-3051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.