Livewell Gastroenterology, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LIVEWELL GASTROENTEROLOGY, PLLC

Practice address

23 Taft Hwy Ste B
Dry Ridge, KY 41035-8121

Phone

(859) 363-5515

Fax

(859) 545-5074

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Amy J Dichiara, MDNPI 1336350990

Title

Managing Member/ President

Phone

(859) 363-5515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy J Dichiara, MD

  • Gastroenterology Physician
  • Dry Ridge, KY
  • NPI 1336350990
  NPD Authorized official

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1861151268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410910739",
            "telephone_number": "859-363-5515",
            "fax_number": "859-545-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TAFT HWY STE B",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410358121",
            "telephone_number": "859-363-5515",
            "fax_number": "859-545-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "DICHIARA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER/ PRESIDENT",
        "authorized_official_telephone_number": "859-363-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Family Eyecare, LLC
• Kevin Sean Jacob, O.D.
• Stephanie Jacob, O.D.
• Jennifer L Meek DMD PLLC
• Jody Elaine Keeley
• Gina Lowe, LDO
• Zoe Luebbe, DPT
• Nicholas Ryan Mairose, LDO
• Timothy J McMahon, DMD
• Brian Melton, APRN

• Medical Specialty Clinic/Center in Dry Ridge, KY
• Providers in Dry Ridge, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.