Livanta Medical Center

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

LIVANTA MEDICAL CENTER

Practice address

2105 Catawba Valley Blvd SE
Hickory, NC 28602

Phone

(828) 358-0000

Fax

(828) 544-8284

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Dalan D Garcia, PA

Title

Owner

Phone

(909) 631-7501

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Ismael Cabral, MD

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1407031420
  NPD
• Aaron Delano Thompson Jr., MD

  • Surgery Physician
  • Conover, NC
  • NPI 1356320071
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1982155263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CATAWBA VALLEY BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024151",
            "telephone_number": "828-358-0000",
            "fax_number": "828-544-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CATAWBA VALLEY BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-358-0000",
            "fax_number": "828-544-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVANTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-631-7501",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mundy Litaker Jr., D.D.S.
• Lite House, Inc
• Lite House, Inc.
• Little Angels Therapy, Inc.
• Little Angels Therapy, Inc.
• Liza M. Shaw
• Amye Nicole Llamas, LCSWA
• Beverly Lo, NP
• Jamie Marie Lockard, FNP-C
• Felecia Lockett, MSW, LCSWA

• Medical Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.