Look up the most recent NPI and PECOS records

James J Livesay

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

1101 Bates Ave, Ste P115, Houston, TX 77030-2607

PECOS Enrollment

This provider is enrolled in PECOS as JAMES LIVESAY.

Based on the most recent information from CMS, provider James J Livesay is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1285721738
Provider Type
Individual
Full Name
Livesay, James J
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/6/2006
Last Updated
12/9/2016

Contact Information

Practice Location

1101 Bates Ave, Ste P115, Houston, TX 77030-2607

(832) 355-4900

(832) 355-3770

Mailing Location

PO Box 20345, Houston, TX 77225-0345

(832) 355-4900

(832) 355-3770

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License E1025 Texas
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License E1025 Texas
Code 2086S0129X	Description Surgery Allopathic & Osteopathic Physicians	License E1025 Texas

Provider Identifiers

ID	Description	Issuer
ID 136034912	Description Other	Issuer MEDICAID (STMC) Texas
ID 8DJ144	Description Other	Issuer BCBS (STMC) Texas
ID 780000017	Description Other	Issuer RAILROAD MEDICARE Texas
ID B156290	Description Other	Issuer MEDICARE (STMC) Texas
ID 136034904	Description Medicaid	Issuer Unlisted Texas
ID 330002572	Description Other	Issuer TRAVELERS MEDICARE Texas
ID 82C342	Description Other	Issuer BCBS Texas

James J Livesay

PECOS Enrollment

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