MR. CHARLES MARK LIVINGSTON (NPI# 1174625537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174625537 |
| Entity Type | Individual |
| Full Name | MR. CHARLES MARK LIVINGSTON |
| Credential | PA |
| Practice Address |
61 Main St Suite 5 Geneseo NY 14454-1255 |
| Mailing Address |
42 South State Street Box 418 Nunda NY 14517 |
| Practice Telephone | 5852437620 |
| Practice Fax Number | 5852431132 |
| Mailing Telephone | 5854682867 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | 23-004586 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
23004586 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
23004586 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285013417 | Charles Michael Livingston Jr. | Pharmacist | 12-j Broad St Sw, Atlanta, GA 30303 | 2015-05-20 |
| 1285743070 | Charles Clay Livingston | Psychologist | 471 W South St, 41-c, Kalamazoo, MI 49007 | 2006-08-29 |
| 1144226119 | Charles Livingston | Social Worker | 706 N Brown St, Clarksville, AR 72830-2732 | 2005-06-24 |
| 1942757505 | Charles Livingston | Day Training, Developmentally Disabled Services | 506 Manchester Expressway, Suite A13 & 14, Columbus, GA 31904 | 2016-09-01 |
| 1699877415 | Charles Stephen Livingston | Chiropractor | 8902 N Meridian St, Suite 101, Indianapolis, IN 46260-5382 | 2006-09-02 |
| 1073545760 | Charles Duncan Livingston | Surgery | 3901 Medical Pkwy, Suite 200, Austin, TX 78756-4027 | 2006-07-06 |
| Street Address |
61 MAIN ST SUITE 5 |
| City | GENESEO |
| State | NY |
| Zip Code | 14454-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639316664 | Robert Nicoletta Md Southern Tier Sports Medicine Pllc | Orthopaedic Surgery | 61 Main St, Ste 5, Geneseo, NY 14454-1255 | 2009-01-13 |
| 1487749073 | Chuck Livingston Pa Pllc | Orthopaedic Surgery | 61 Main St, Suite 5, Geneseo, NY 14454 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206537 | Mary Elizabeth Kruppner | Registered Nurse | 4050 Avon Road, Geneseo, NY 14454 | 2011-12-15 |
| 1639305089 | Genesis Internal Medicine Pllc | Internal Medicine | 50 E South St., Suite 600, Geneseo, NY 14454 | 2009-05-29 |
| 1912175621 | Nicholas H. Noyes Memorial Hospital | Clinic/Center | 4616 Milllenium Dr, Geneseo, NY 14454 | 2008-02-15 |
| 1770705188 | Vista Behavioral Health Medicine Pllc | Psychiatry & Neurology | 4245 Lakeville Rd, Suite 4a, Geneseo, NY 14454 | 2007-05-03 |
| 1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| 1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
| 1306993761 | Karla L. Mulligan | General Practice | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office, Geneseo, NY 14454 | 2007-01-05 |
| 1902989338 | Heather A Dailor | Registered Nurse | 1 College Circle, Lauderdale Center for Health and Counseling, Geneseo, NY 14454 | 2006-10-21 |
| 1447331582 | Peter H. Cormack | Psychologist | Peter H. Cormack 4828 Lakeville Road, Geneseo, NY 14454 | 2006-10-17 |
| 1235227497 | Lauren Suzanne Rosella | Dentist | 3 Park Street, Doty Dental, Geneseo, NY 14454 | 2006-10-11 |
| Find all providers in zip 14454 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164453619 | Debra Reifenrath | Physician Assistant | 50 E. South St, Suite 700, Geneseo, NY 14454-1300 | 2006-07-05 |
| 1285005850 | Iowa Physicians Clinic Medical Foundation | Physician Assistant | 600 N College Ave, Suite 120, Geneseo, IL 61254-1095 | 2015-10-08 |
| 1962603332 | Daniel Charles Bessett | Physician Assistant | 3 Park Street, Geneseo, NY 14454 | 2007-05-31 |
| 1346379823 | Richard Dennison Brooks | Physician Assistant | 50 E South St, Geneseo, NY 14454-1300 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.