JOHN D LIVERINGHOUSE (NPI# 1902874829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902874829 |
| Entity Type | Individual |
| Full Name | JOHN D LIVERINGHOUSE |
| Credential | MD |
| Practice Address |
1900 Centracare Circle Centracare Clinic Health Plaza Gastroenterology St Cloud MN 56303 |
| Mailing Address |
1900 Centracare Circle St Cloud MN 56303 |
| Practice Telephone | 3202294916 |
| Practice Fax Number | 3202294916 |
| Mailing Telephone | 3202294916 |
| Mailing Fax Number | 3202295174 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
45036 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1900 CENTRACARE CIRCLE CENTRACARE CLINIC HEALTH PLAZA GASTROENTEROLOGY |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815051 | Jennifer J Rogan | Pediatrics | 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 | 2005-07-20 |
| 1659694628 | Bethany T. Dingmann | Dietitian, Registered | 1900 Centracare Circle, Suite 2500, St Cloud, MN 56303-5000 | 2010-03-05 |
| 1073708608 | Rachel Wenner Ruzanic | Dermatology | 1900 Centracare Circle, Centracare Clinic- Health Plaza Specialties, St Cloud, MN 56303-5000 | 2007-09-06 |
| 1982737938 | Daniel W Kraft | Internal Medicine | 1900 Centracare Circle, Centracare Clinic Health Plaza Gastroenterology, St Cloud, MN 56303 | 2007-03-13 |
| 1154466209 | Robin C Marushin | Obstetrics & Gynecology | 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 | 2007-02-20 |
| 1124173919 | David M Pence | Radiology | 1900 Centracare Circle, St Cloud, MN 56303 | 2007-01-24 |
| 1659425114 | Centracare Clinic | Durable Medical Equipment & Medical Supplies | 1900 Centracare Circle, Centracare Clinic Internal Medicine, St Cloud, MN 56303 | 2007-01-22 |
| 1720155336 | Nelson L Adamson | Radiology | 1900 Centracare Circle, Centracare Clinic Health Plaza Specialties, St Cloud, MN 56303-5000 | 2006-11-29 |
| 1588734214 | Erin Y Scapanski | Physician Assistant | 1900 Centracare Circle, Centracare Clinic, St Cloud, MN 56303 | 2006-11-09 |
| 1639248065 | Donna F Johnson | Psychologist | 1900 Centracare Circle, Centracare Health Plaza, St Cloud, MN 56303 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1982737938 | Daniel W Kraft | Internal Medicine | 1900 Centracare Circle, Centracare Clinic Health Plaza Gastroenterology, St Cloud, MN 56303 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795775 | Tyson Sievers | Internal Medicine | 406 Harvard St Se, Mmc 36, Minneapolis, MN 55455-0362 | 2013-04-18 |
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1609011949 | Elizabeth Fallon | Internal Medicine | 2550 University Ave West Suite 423 South, Minneapolis, MN 55114-1904 | 2008-12-15 |
| 1780829440 | Albert Dallas Newcomer | Internal Medicine | 437 Eagle Ln Sw, Rochester, MN 55902-4137 | 2008-12-10 |
| 1528215415 | Ronald F Kettering | Internal Medicine | 1635 11th Ave Ne, Rochester, MN 55906-4266 | 2008-08-21 |
| 1710147392 | Ridgeview Clinics | Internal Medicine | 560 South Maple Street, Suite 220, Waconia, MN 55387-0000 | 2008-06-17 |
| 1265609085 | Jeffrey Sanders | Internal Medicine | 1185 Town Centre Dr #205, Eagan, MN 55123-1343 | 2008-05-12 |
| 1467640482 | Metropolitan Gastrointestinal Specialists | Internal Medicine | 17322 91st Ave N, Maple Grove, MN 55311-5403 | 2007-10-04 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1598962656 | Maria E Moscandrew | Internal Medicine | 825 S 8th St Ste 250, Minneapolis, MN 55404-1214 | 2007-06-29 |
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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.