LIVINGSTON PEDIATRIC CLINIC PA (NPI# 1609055904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609055904 |
| Entity Type | Organization |
| Organization Name | LIVINGSTON PEDIATRIC CLINIC PA |
| Practice Address |
206 S College Ave Cleveland TX 77327-4504 |
| Mailing Address |
400 Ogletree Dr Livingston TX 77351-6783 |
| Practice Telephone | 2815926000 |
| Practice Fax Number | 9363288815 |
| Mailing Telephone | 9363288812 |
| Mailing Fax Number | 9363288815 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JULIE LAIRMORE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9363288812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0045LZ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891848297 | Livingston Pediatric Clinic Pa | Pediatrics | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2007-01-19 |
| Street Address |
206 S COLLEGE AVE |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77327-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720010044 | Cleveland Pediatric Clinic | Specialist | 206 S College Ave, Cleveland, TX 77327-4504 | 2006-07-07 |
| 1780157412 | Yapmed Incorporated | Physical Therapist | 206 S College Ave, Cleveland, TX 77327-4504 | 2019-01-04 |
| 1114258928 | Heather Lauren King | Nurse Practitioner | 206 S College Ave, Cleveland, TX 77327-4504 | 2010-01-18 |
| 1659422780 | Howard Go Yap | Physical Therapist | 206 S College Ave, Cleveland, TX 77327-4504 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454525 | Secure Hands, LLC | Home Delivered Meals | 811 Lyle West Ave Unit C, Cleveland, TX 77327 | 2020-07-14 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1689102642 | Nikki J0 Morgan | Nurse Practitioner | 117 S William Barnett Ave Ste A, Cleveland, TX 77327 | 2017-06-02 |
| 1811439292 | Charlotte Susanne Key | Nurse Practitioner | 211 S College Avenue, Cleveland, TX 77327 | 2016-11-16 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1255522447 | Latresha J Mcbride | Pediatrics | 300 E Houston, Ste A, Cleveland, TX 77327 | 2007-08-05 |
| 1104035914 | Lanette C Sikes | Dentist | 117 E Houston, Cleveland, TX 77327 | 2007-05-21 |
| 1285851873 | Randy Lee Davis | Dentist | 429 W. Southline St. Suite#900, Cleveland, TX 77327 | 2007-04-18 |
| 1508996950 | City of Cleveland | Ambulance | 207 E Boothe, Cleveland, TX 77327 | 2007-03-06 |
| Find all providers in zip 77327 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710113618 | Comprehensive Pediatrics, Inc. | Pediatrics | 18099 Lorain Rd, #304, Cleveland, OH 44111 | 2009-06-05 |
| 1255307369 | Alaknanda S Chandurkar | Pediatrics | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2006-02-28 |
| 1609877711 | Amma Owusu-ansah | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
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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.