SPEROS G LIVIERATOS (NPI# 1285829994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285829994 |
| Entity Type | Individual |
| Full Name | SPEROS G LIVIERATOS |
| Credential | MD |
| Practice Address |
3651 Wheeler Rd Augusta GA 30909-6521 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 7066513232 |
| Mailing Telephone | 6153725068 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
64669 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
45686 | KY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
45686 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100269940 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 908 Bypass Rd, Pikeville Medical Center, Pikeville, KY 415011689 | 6062186222 |
| Street Address |
3651 WHEELER RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946817 | Nicholas Anthony Paul Martyak | Emergency Medicine | 3651 Wheeler Rd, Department of Emergency Medicine, Augusta, GA 30909-6521 | 2005-07-18 |
| 1902406572 | Ophthalmology Consultants, LLC | Ophthalmology | 3651 Wheeler Rd, Augusta, GA 30909-6426 | 2020-10-31 |
| 1770191470 | Robert Adam Hardy | Nurse Practitioner | 3651 Wheeler Rd, Augusta, GA 30909-6426 | 2020-07-19 |
| 1942836580 | David H. Riggans, Md PC | Radiology | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2020-03-16 |
| 1922640531 | Brittany Blocker | Physician Assistant | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-10-15 |
| 1154978658 | Elizabeth White | Physician Assistant | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-08-20 |
| 1205482338 | Thornton Pulmonology & Critical Care LLC | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-08-14 |
| 1962055590 | Victoria Aileen Shaver | Nurse Practitioner | 3651 Wheeler Rd, Augusta, GA 30909 | 2019-07-23 |
| 1417517095 | Harpe Engineering Solutions, Inc. | Ophthalmology | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-06-17 |
| 1265996417 | Joy Michelli Lewis | Nurse Practitioner | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1205482338 | Thornton Pulmonology & Critical Care LLC | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2019-08-14 |
| 1871910091 | Matthew Levi Fowler | Internal Medicine | 1120 15th St, Augusta, GA 30912 | 2014-03-26 |
| 1053653089 | Gabriel Thornton | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2013-03-16 |
| 1710275359 | Sebastian Circo | Internal Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2011-07-18 |
| 1518250422 | Burn Icu, LLC | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2011-05-25 |
| 1144531641 | Harigopal Sreerama Reddy | Internal Medicine | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2010-06-29 |
| 1366528333 | Varsha Anant Kulkarni | Internal Medicine | 1301 Broad St, Augusta, GA 30901-1055 | 2006-10-31 |
| 1336221084 | Anne Bagley | Internal Medicine | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-10-20 |
| 1245286681 | Carmel Joseph | Internal Medicine | 3630 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2006-05-26 |
| Find all providers in AUGUSTA | ||||
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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.