Maria Livieratos MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301064240 Issued in MI

Legal business name

MARIA LIVIERATOS MD PLLC

Practice address

5799 S Main St
#1472
Clarkston, MI 48347-9907

Phone

(248) 620-1275

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maria Livieratos, M.D.,NPI 1316028400

Title

Single Member

Phone

(248) 620-1275

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Maria Livieratos, MD

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1316028400
  NPD (past) Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1952504987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 S. MAIN ST. #1472",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483471472",
            "telephone_number": "248-620-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 S MAIN ST",
            "address_2": "#1472",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483479907",
            "telephone_number": "248-620-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LIVIERATOS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "LIVIERATOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "248-620-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE PHYSICI",
            "identifier": "4301064240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James I Malone III
• Jennifer Manna, LMSW
• Ramy Mansour, D.O.
• Patrick C.a Marcoux, MS, LPC
• Ivy Marcum
• Frederick A Marsac, RPH
• Tori Marsh
• Lindaya Elaina Marshall-Thrash, BEHAVIOR TECHNICIAN
• Elizabeth D Marshall, LLPC
• Karen Irene Marshall, MA

• Family Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.