Individual
DR. PAUL TAYLOR LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135
Mailing address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11172
WV
207Q00000X
Family Medicine Physician
Primary
D0023774
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
BCBS FEDERAL GROUP #
WV
05
—
0056043000
—
WV
01
—
00716943
BCBS PROVIDER #
WV
01
—
080006019
RAILROAD MEDICARE
WV
01
—
104012132
CIGNA
—
01
—
110098979
RAILROAD MEDICARE
MD
01
—
1266849
UNITED HEALTHCARE
—
05
—
343101100
—
MD
01
—
417071-01
BCBS
MD
01
—
850290
MDIPA - OPTIMUM CHOICE
—
01
—
LI0467843
WV MEDICARE PROVIDER NUMBER
WV
01
—
P11372
BCBS POS
MD
01
—
W399
BCBS FEDERAL PIN #
WV
01
—
W3990003
BCBS FEDERAL
MD
Enumeration date
04/20/2006
Last updated
02/10/2025
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