MARIA LIVIERATOS MD PLLC (NPI# 1952504987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952504987 |
| Entity Type | Organization |
| Organization Name | MARIA LIVIERATOS MD PLLC |
| Practice Address |
5799 S Main St #1472 Clarkston MI 48347-9907 |
| Mailing Address |
5799 S. Main St. #1472 Clarkston MI 48347-1472 |
| Practice Telephone | 2486201275 |
| Mailing Telephone | 2486201275 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | DR. MARIA LIVIERATOS (SINGLE MEMBER) |
| Authorized Official Telephone | 2486201275 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301064240 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BOARD OF MEDICINE PHYSICI | 4301064240 | 01 |
| Street Address |
5799 S MAIN ST #1472 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48347-9907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1033726401 | Maitland Healthcare Services LLC | Home Health | 6060 Dixie Hwy Ste A, Clarkston, MI 48346-3476 | 2020-09-29 |
| 1558978528 | David Sperry | Counselor | 1303 Poplar St, Clarkston, WA 99403-2345 | 2020-09-24 |
| 1245845791 | Amanda Evanoff | Case Manager/Care Coordinator | 4619 Jerome Rd, Clarkston, MI 48346-3735 | 2020-09-11 |
| 1720698483 | Asotin County Fire Protection # 1 | Ambulance | 2314 Appleside Blvd, Clarkston, WA 99403-1344 | 2020-08-06 |
| 1114536232 | Suzanne Marie Lugger | Nurse Practitioner | 5028 Ridge Trl S, Clarkston, MI 48348-2180 | 2020-07-24 |
| 1225646581 | Heidi Watson | Behavior Technician | 1021 8th St, Clarkston, WA 99403-2501 | 2020-07-22 |
| 1295343788 | Adult Patient Care Pllc | Hospitalist | 5496 Saint Andrew Dr, Clarkston, MI 48348-4836 | 2020-07-21 |
| 1154949881 | Adultcare of Independence Township | Assisted Living Facility | 8541 N Eston Rd, Clarkston, MI 48348-3509 | 2020-07-09 |
| 1003433822 | Lindsey Ryan King | Case Manager/Care Coordinator | 6064 Princess Ln, Clarkston, MI 48346-2323 | 2020-06-26 |
| Find all providers in CLARKSTON | ||||
| 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 |
|---|---|---|---|---|
| 1568843142 | David William Mcnaughton | Family Medicine | 6770 Dixie Hwy Ste 303, Clarkston, MI 48346-2090 | 2015-06-09 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1780927251 | Mary S Crowell | Family Medicine | 1119 Highland Ave Ste 10, Clarkston, WA 99403-2836 | 2013-04-02 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1194040626 | Sathish Mannaickal Philip | Family Medicine | 6483 Citation Dr Ste B, Clarkston, MI 48346-2994 | 2010-03-26 |
| 1598897530 | Dorothy A. O. White-williams | Family Medicine | 3700 Market St Ste C, Clarkston, GA 30021-2652 | 2007-03-12 |
| 1396881827 | Clarkston Medical Clinic PC | Family Medicine | 5790 S Main Street, Ste J, Clarkston, MI 48346 | 2007-01-30 |
| 1427155985 | Comprehensive Medical Care | Family Medicine | 5710 Bella Rose Blvd, Suite 200, Clarkston, MI 48348-4773 | 2006-09-19 |
| 1437178720 | Fabrizio Di Noto | Family Medicine | 6483 Citation Drive, Suite B, Clarkston, MI 48346 | 2006-07-18 |
| 1841222080 | Daniel Bielak | Family Medicine | 5900 Waldon Rd, Clarkston, MI 48346-4806 | 2006-07-07 |
| Find all providers in CLARKSTON | ||||
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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.