Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Arthur Livermore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174649206

Dr. Jacob Arthur Livermore, MD is a Diagnostic Radiology in Ypsilanti, Michigan. Graduated from Wayne State University School of Medicine in 2004, 22 years ago. Practices with Huron Valley Radiology PC, a 75-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5333 McAuley Dr Ste 6016
Ypsilanti, MI 48197-1014
Phone: (734) 712-8350
Fax: (734) 712-8351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301083916 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301083916 (MI)

Record details

NPI number1174649206
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 30, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Huron Valley Radiology Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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