LIVINGSTON ENT (NPI# 1043542905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043542905 |
| Entity Type | Organization |
| Organization Name | LIVINGSTON ENT |
| Practice Address |
2300 Genoa Business Park Dr Suite 130 Brighton MI 48114-7367 |
| Practice Telephone | 8102273687 |
| Practice Fax Number | 8102252209 |
| Mailing Telephone | 8102273687 |
| Mailing Fax Number | 8102252209 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | MRS. SHANNON L JASCOE (OFFICE MANAGER) |
| Authorized Official Telephone | 8102273687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301053044 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS ID | 4301053044 | 01 |
| MI | UPIN | F51824 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LIVINGSTON ENTERPRISES LLC | 2600 Ne Scapleton Rd Ste B, Vancouver, WA 98661 |
| Connecticut Business Registrations | LIVINGSTON ENTERPRISES LLC | 41 Bishop Avenue, Bridgeport, CT 06607 |
| Washington State Corporations | LIVINGSTON ENTERPRISES, INC. | |
| North Carolina Corporations | Livingston Enterprises, Inc. | P. O. Drawer E, Toot Hollow Community, Bryson City, NC 00000 |
| Street Address |
2300 GENOA BUSINESS PARK DR SUITE 130 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965813 | Brian E Nichols | Specialist/Technologist | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2006-05-04 |
| 1710426663 | Aya Audiological Consultants, LLC | Audiologist | 2300 Genoa Business Park Dr, Suite 130, Brighton, MI 48114-7367 | 2017-02-13 |
| 1902263023 | Erin Oldford | Counselor | 2300 Genoa Business Park Dr, Brighton, MI 48114-7367 | 2016-01-20 |
| 1356716476 | Jennifer Gretzema | Counselor | 2300 Genoa Business Park Dr, Suite 160, Brighton, MI 48114-7367 | 2015-12-01 |
| 1316342447 | Dr. Jennifer B. Mainka, LLC | Psychologist | 2300 Genoa Business Park Dr, Suite 160, Brighton, MI 48114-7367 | 2014-10-31 |
| 1215365762 | Neurology Associates Southeast, Pllc | Specialist | 2300 Genoa Business Park Dr, Suite 190, Brighton, MI 48114-7367 | 2013-10-19 |
| 1861791998 | Brighton Urgent Care PC | Clinic/Center | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2011-03-15 |
| 1568760353 | Brighton Urgent Care PC | Obstetrics & Gynecology | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2011-03-03 |
| 1205164712 | Ashthorn Holdings LLC | Home Health | 2300 Genoa Business Park Dr, Suite 160, Brighton, MI 48114-7367 | 2009-11-20 |
| 1568616662 | Mary Jane Madsen | Counselor | 2300 Genoa Business Park Dr, Suite 106, Brighton, MI 48114-7367 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477036812 | Andrea Odonnell | Specialist | 9795 Village Place Blvd, Sola Studio 15, Brighton, MI 48116-2087 | 2018-09-12 |
| 1104229723 | Kara Elisabeth Sullivan | Specialist | 40 Montcalm Ave Unit 1, Brighton, MA 02135 | 2014-09-28 |
| 1578994463 | Gago Ivf | Specialist | 2250 Genoa Business Park Dr Ste 110, Brighton, MI 48114-7372 | 2013-12-03 |
| 1386085322 | Trisha Conklin | Specialist | 102 Pelican Ave, Brighton, CO 80601-5314 | 2013-07-06 |
| 1992144315 | Christine Rans | Specialist | 4160 Summer Hl, Brighton, MI 48116-9777 | 2013-06-19 |
| 1891054375 | Affinity | Specialist | 1041 Lincoln Dr, Brighton, MI 48116-3793 | 2012-05-03 |
| 1750573010 | Platte Valley Internal Medicine & Pulmonary LLC | Specialist | 1606 Prairie Center Pkwy Ste 310, Brighton, CO 80601-4004 | 2007-08-10 |
| 1164594081 | West Clinic PC | Specialist | 240 Grandview Drive, Brighton, TN 38011-4253 | 2006-11-15 |
| 1326142704 | Carney Medical Group | Specialist | 77 Warren Street-provider Enrollment, Brighton, MA 02135 | 2006-09-07 |
| 1467566885 | Brighton Medical Practice | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-08-19 |
| Find all providers in BRIGHTON | ||||
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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.