LIVE OAK ENDOSCOPY CENTER, LLC – NPI #1548254402
Clinic/Center

LIVE OAK ENDOSCOPY CENTER, LLC is an AHC clinic located in VERO BEACH, FL. NPPES has assigned the NPI number 1548254402 to LIVE OAK ENDOSCOPY CENTER, LLC on September 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Jun 08, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVE OAK ENDOSCOPY CENTER, LLC below.

NPI Profile for
LIVE OAK ENDOSCOPY CENTER, LLC

NPI Number
1548254402
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVE OAK ENDOSCOPY CENTER, LLC
Primary location
275 18TH ST
SUITE 101
VERO BEACH, FL 32960-5555
Phone: (772) 299-5005 Fax: (772) 299-1340
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM MCCORMACK
C.E.O.
Phone: (772) 299-5005
Updated
Identifiers

Identifiers for LIVE OAK ENDOSCOPY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBC BS FLORIDAFL6B6
OTHERCIGNA4677223
OTHEROXFORD HEALTH PLANA2882678
OTHERRAILROAD MEDICAREFL490005670
MEDICAIDFL075390400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 FL 1154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.