ANDREW LIVERMORE (NPI# 1225472822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225472822 |
| Entity Type | Individual |
| Full Name | ANDREW LIVERMORE |
| Credential | MD |
| Practice Address |
1626 Tuttle St Baraboo WI 53913-1501 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6083556868 |
| Practice Fax Number | 6083556810 |
| Mailing Telephone | 6082501497 |
| Mailing Fax Number | 6082501384 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 10765982-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 63149 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1626 TUTTLE ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883933 | Borys Kusyk | Podiatrist | 1626 Tuttle St, Baraboo, WI 53913 | 2006-04-26 |
| 1003372830 | Violet Margaret Laukant | Nurse Practitioner | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2019-02-18 |
| 1922527365 | Blake R Ward | Physician Assistant | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2017-09-18 |
| 1881988244 | Lisa Marie Peterson | Optometrist | 1626 Tuttle St, Suite 1, Baraboo, WI 53913-1501 | 2011-06-02 |
| 1609169192 | Aaron M Carpiaux | Orthopaedic Surgery | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2011-05-17 |
| 1104089911 | Emily J Parker | Optometrist | 1626 Tuttle St, Suite 1, Baraboo, WI 53913 | 2008-07-02 |
| 1548270085 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2006-08-08 |
| 1578573036 | Sara J Horras | Physician Assistant | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2006-08-08 |
| 1710903828 | Dean Health Systems, Inc. | Prosthetic/Orthotic Supplier | 1626 Tuttle St, Baraboo, WI 53913 | 2006-07-14 |
| 1568494466 | St. Marys Dean Ventures Inc. | Clinic/Center | 1626 Tuttle St, Suite 1, Baraboo, WI 53913-1501 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609169192 | Aaron M Carpiaux | Orthopaedic Surgery | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2011-05-17 |
| 1194762955 | Richard W Glad | Orthopaedic Surgery | 1626 Tuttle St, Baraboo, WI 53913-1501 | 2006-06-01 |
| 1992787535 | Michael Dwain Plooster | Orthopaedic Surgery | 635 15th St, Baraboo, WI 53913-1502 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1831729276 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 8907 S Howell Ave Ste 800, Oak Creek, WI 53154-4461 | 2020-01-24 |
| 1710520200 | Aspen Orthopedic and Rehabilation Specalist | Orthopaedic Surgery | 12555 W National Ave Ste 100, New Berlin, WI 53151-4061 | 2019-10-28 |
| 1477015931 | Multiple Care of Wi II, LLC | Orthopaedic Surgery | 8040 Excelsior Dr Ste 400, Madison, WI 53717-2915 | 2019-04-03 |
| 1508321209 | Ellen M Obrien | Orthopaedic Surgery | 5026 N Northwood Trce, Janesville, WI 53545-8990 | 2019-02-06 |
| 1487180238 | Ryan Scott Bailey | Orthopaedic Surgery | 7708 Milwaukee Ave, Wauwatosa, WI 53213-2209 | 2017-05-11 |
| 1932584927 | Anne Margarethe Ryan | Orthopaedic Surgery | 5940 Wild Rose Ln, Eau Claire, WI 54701-8783 | 2015-07-20 |
| 1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
| 1952728206 | Jacob R Seiler | Orthopaedic Surgery | 1205 West American Drive, Neenah, WI 54956-1405 | 2014-03-25 |
| 1770920472 | Jonathan Stone | Orthopaedic Surgery | 3111 W Rawson Ave Ste 200205, Franklin, WI 53132-9417 | 2013-06-04 |
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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.