JOHN RUSSELL LIVENGOOD (NPI# 1104911205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104911205 |
| Entity Type | Individual |
| Full Name | JOHN RUSSELL LIVENGOOD |
| Credential | M.D. |
| Practice Address |
780 Sw 24th St Medical Administration Fort Lauderdale FL 33315-2643 |
| Practice Telephone | 9544674822 |
| Mailing Telephone | 9544674822 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME91299 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356366157 | John Paul Livengood | Dentist | 125 Back Springs Rd, Bedford, AL 15522 | 2006-07-13 |
| Street Address |
780 SW 24TH ST MEDICAL ADMINISTRATION |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33315-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003885765 | Paula Michele Thaqi | Pediatrics | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2006-03-15 |
| 1477031771 | Supriya Narang | Dentist | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2018-07-30 |
| 1033363643 | Diana A Lynch | Nurse Practitioner | 780 Sw 24th St, Medical Adminstration, Fort Lauderdale, FL 33315-2643 | 2008-11-10 |
| 1255584231 | Evril J Parris | Nurse Practitioner | 780 Sw 24th St, Medical Adminsitration, Fort Lauderdale, FL 33315-2643 | 2008-11-04 |
| 1841485422 | Broward County Department of Health | Public Health or Welfare | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2007-09-07 |
| 1780879395 | Broward County Department of Health | Public Health or Welfare | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2007-09-07 |
| 1669666574 | Broward County Department of Health | Public Health or Welfare | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2007-09-04 |
| 1952595860 | Broward County Department of Health | Public Health or Welfare | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2007-09-04 |
| 1598959850 | Broward County Department of Health | Public Health or Welfare | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2007-08-30 |
| 1003000373 | Broward County Department of Health | Public Health or Welfare | 780 Sw 24th St, Fort Lauderdale, FL 33315-2643 | 2007-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053840496 | Veronica Rodriguez | Homemaker | 1809 Sw 23rd St, Fort. Lauderdale, FL 33315 | 2017-06-08 |
| 1780008805 | Acute Air Ambulance | Ambulance | 240 Sw 34th St, Fort Lauderdale, FL 33315 | 2014-02-10 |
| 1649551680 | Luis Abreu | Counselor | 325 Sw 28th Street, Broward Addiction Recovery Center, Ft. Lauderdale, FL 33315 | 2011-09-05 |
| 1346461530 | Carlos L. Aponte | Counselor | 2600 Sw 4th Ave., Ft. Lauderdale, FL 33315 | 2007-05-02 |
| 1508907619 | Jason Michael Melachrino | Pharmacist | 831 Sw 16th Ct, Fort Lauderdale, FL 33315 | 2007-02-09 |
| 1790085819 | Wendy Elizabeth Pinales Swanson | Dentist | 2421 Sw 6th Ave, Ft Lauderdale, FL 33315 | 2010-10-22 |
| 1649312877 | Carrie Flanigan Melachrino | Pharmacist | 831 Sw 16th Ct, Fort Lauderdale, FL 33315 | 2007-02-13 |
| 1891166807 | Jeffrey Spindler | Nurse Practitioner | 401 Sw 4th Ave, #209, Fort Lauderdale, FL 33315-1013 | 2015-10-16 |
| 1336605492 | Lillie Peace Pharmacy | Pharmacy | 303 Sw 6th St, Fort Lauderdale, FL 33315-1027 | 2019-02-13 |
| 1518510841 | Mobile Chiro Rehab, Inc. | Chiropractor | 618 Sw 6th St, Fort Lauderdale, FL 33315-1034 | 2019-07-16 |
| Find all providers in zip 33315 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
| 1326281510 | Kathryn Anne Birken-friedman | Pediatrics | 901 Cordova Rd, Fort Lauderdale, FL 33316-1451 | 2009-04-17 |
| 1073779724 | Brian David Udell | Pediatrics | 1401 S. Federal Hwy, Children's Diagnostic and Treatment Center, Fort Lauderdale, FL 33316-2619 | 2008-08-01 |
| 1346329349 | Lalit K Shah Md Pa | Pediatrics | 4725 North Federal Hwy, Nicu 2nd Floor Holy Cross Hospital, Fort Lauderdale, FL 33308-4603 | 2006-11-02 |
| 1659309698 | North Broward Hospital District | Pediatrics | 1625 Se 3 Avenue, Sutie 635, Fort Lauderdale, FL 33316 | 2006-06-29 |
| 1619905676 | North Broward Hospital District | Pediatrics | 2400 Nw 26 Street, Fort Lauderdale, FL 33311 | 2006-06-29 |
| 1316902430 | Ernesto Jose Blanco | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-04-20 |
| 1225093347 | Nolan S Berman | Pediatrics | 2866 E Oakland Park Blvd Ste 2, Fort Lauderdale, FL 33306-1819 | 2006-04-20 |
| 1679538854 | Maria D. Barrueco-casariego | Pediatrics | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2006-04-19 |
| 1295799187 | Joselyn M Mateo | Pediatrics | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-04-17 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33315 |
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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.