WILBUR D LIVINGSTON JR. (NPI# 1942374509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942374509 |
| Entity Type | Individual |
| Full Name | WILBUR D LIVINGSTON JR. |
| Credential | M.D. |
| Practice Address |
1780 Medical Park Dr Rock Hill SC 29732-1194 |
| Mailing Address |
9735 Kincey Ave Suite 201 Huntersville NC 28078-9118 |
| Practice Telephone | 8033271116 |
| Practice Fax Number | 8033276872 |
| Mailing Telephone | 7044142870 |
| Mailing Fax Number | 7044142860 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 30061 | NC | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 10622 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7906087 | 05 | |
| SC | AETNA | 00041111 | 01 |
| SC | 106227 | 05 | |
| SC | MAMSI | 279865 | 01 |
| SC | UNITED HEALTHCARE | 1905792 | 01 |
| NC | BCBS OF NC | 136H0 | 01 |
| SC | MEDCOST | 27149 | 01 |
| NC | 89136H0 | 05 | |
| SC | GREAT WEST | 760696 | 01 |
| Street Address |
1780 MEDICAL PARK DR |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809787 | Christian E Magura | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-02-07 |
| 1184255127 | Kylie Hawkins Cajka | Nurse Practitioner | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2020-01-29 |
| 1174162937 | Lynda Michelle Marovich | Nurse Practitioner | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2019-12-27 |
| 1194117226 | Ashima Singal | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2015-02-26 |
| 1336213883 | Thomas H Douglas | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1992879571 | Curtis J Matthews Jr. | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1083788673 | Terry H Ezell | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1801960331 | David K Wright | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1366467250 | Carolina Urology Center, Pa | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-07-13 |
| 1912970484 | Albert G Leroy Jr. | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809787 | Christian E Magura | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-02-07 |
| 1194117226 | Ashima Singal | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2015-02-26 |
| 1336213883 | Thomas H Douglas | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1992879571 | Curtis J Matthews Jr. | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1083788673 | Terry H Ezell | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1801960331 | David K Wright | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-11-17 |
| 1366467250 | Carolina Urology Center, Pa | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-07-13 |
| 1912970484 | Albert G Leroy Jr. | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
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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.