LIVEUPMEDICAL PLLC (NPI# 1063911683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063911683 |
| Entity Type | Organization |
| Organization Name | LIVEUPMEDICAL PLLC |
| Practice Address |
205 N Bonnie Brae St Denton TX 76201-3766 |
| Mailing Address |
3000 S Hulen St Ste 124-558 Ft Worth TX 76109-1929 |
| Practice Telephone | 9403841500 |
| Mailing Telephone | 9404840914 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | SHANE F STONE (OWNER) |
| Authorized Official Telephone | 8642857227 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
205 N BONNIE BRAE ST |
| City | DENTON |
| State | TX |
| Zip Code | 76201-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022470 | Senior Care Services | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2005-06-02 |
| 1891358743 | Trina King | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2019-04-16 |
| 1174004923 | Fatemeh Shams Gakieh | Occupational Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-28 |
| 1447731815 | Cari Craft | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-23 |
| 1336620707 | Susan Zeringue Clark | Occupational Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-23 |
| 1730660325 | Erin Kane | Occupational Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-22 |
| 1902387517 | Marie Louise Avila | Physical Therapist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-22 |
| 1316427297 | Mary Madison Sewell | Speech-Language Pathologist | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-20 |
| 1679053672 | Kasey Jo Lantrip-pruett | Physical Therapy Assistant | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2018-08-19 |
| 1972748630 | Vintage Scc LLC | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2008-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369177 | Connections Primary Care | Family Medicine | 2721 Shoreline Dr Ste 120, Denton, TX 76210-0170 | 2019-04-23 |
| 1194104950 | Kamille Romain | Family Medicine | 2310 W University Dr, Denton, TX 76201-1650 | 2015-05-27 |
| 1245640192 | Nancy E Gegbe Clark | Family Medicine | 2660 Scripture St Ste 110, Denton, TX 76201-4340 | 2014-04-30 |
| 1669890315 | Gabriel Okpagu | Family Medicine | 2520 W University Dr # 1154, Denton, TX 76201-1616 | 2014-03-31 |
| 1346517919 | Robert Seavey Croissant | Family Medicine | 401 Ridgecrest Cir, Denton, TX 76205-5407 | 2011-11-25 |
| 1255619268 | Robert Lee Gispanski | Family Medicine | 4401 N I 35 Unit 312, Denton, TX 76207-3318 | 2011-07-25 |
| 1326373291 | Dogwood Housecalls Pa | Family Medicine | 3912 Drexel Dr, Denton, TX 76210-7705 | 2009-10-12 |
| 1215182191 | Linda Yeatts, M.d., P.a. | Family Medicine | 2701 W Oak St, Suite 101, Denton, TX 76201-2328 | 2008-11-19 |
| 1861652372 | Neelima Chirumamilla | Family Medicine | 2520 W University Dr, Suite 1154, Denton, TX 76201-1616 | 2008-06-10 |
| 1518144534 | Shane Jordan Ashford | Family Medicine | 2900 N Interstate 35 Ste 301, Denton, TX 76201-5146 | 2008-01-22 |
| Find all providers in DENTON | ||||
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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.