LIVINGSTON MEDICAL, PLLC (NPI# 1225440092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225440092 |
| Entity Type | Organization |
| Organization Name | LIVINGSTON MEDICAL, PLLC |
| Practice Address |
3620 W Pioneer Dr Suite 107 Irving TX 75061-1545 |
| Practice Telephone | 9728700028 |
| Mailing Telephone | 9728700028 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | DR. YONG DAE CHANG (M.D.) |
| Authorized Official Telephone | 9728700028 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | J6087 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3620 W PIONEER DR SUITE 107 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417308 | Anish Narayanan | Internal Medicine | 6215 Verbena Ln, Irving, TX 75039-0104 | 2020-05-06 |
| 1356797070 | Claris Health Pllc | Internal Medicine | 2975 Regent Blvd, Irving, TX 75063-3140 | 2016-05-11 |
| 1396191409 | Paul Alukal | Internal Medicine | 400 W Lyndon B Johnson Fwy Ste 200, Irving, TX 75063 | 2016-05-06 |
| 1114314283 | Leny M Abraham | Internal Medicine | 7200 State Highway 161 Ste 220, Irving, TX 75039-3830 | 2015-04-16 |
| 1427479336 | Hospitalist Medical Group Pllc | Internal Medicine | 8501 N Macarthur Blvd # 261, Irving, TX 75063-4100 | 2013-12-18 |
| 1376974345 | Deepika Kilaru Md Pa | Internal Medicine | 2923 Waterford Dr, Irving, TX 75063-3193 | 2013-12-02 |
| 1063847275 | Irving Medical Center Pa | Internal Medicine | 10009 N Macarthur Blvd Ste 109, Irving, TX 75063-5082 | 2013-09-06 |
| 1891127056 | Mid-cities Internal Medicine, P.a. | Internal Medicine | 6703 Capistrano St, Irving, TX 75039-4339 | 2013-07-30 |
| 1437591211 | Sina Rahmani | Internal Medicine | 6121 N Highway 161 Ste 300, Irving, TX 75038-2270 | 2013-07-22 |
| 1902244221 | Adetoun Faniyan | Internal Medicine | 3609 W Northgate Dr, Unit 217, Irving, TX 75062-8433 | 2013-06-09 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.