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LIVE OAK MEDICINE
NPI 1972574317
Family Medicine in Marble Falls, TX

Active since February 01, 2006CLIA 45D1045908 · Waiver
608 GATEWAY CENTRAL, SUITE 100, MARBLE FALLS, TX 78654(830) 693-2005(830) 798-2006 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Live Oak Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE OAK MEDICINE (NPI 1972574317) is a healthcare organization registered as a family medicine in Marble Falls, Texas and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Amy E Van Dorfy, Owner /physician, as its authorized official.

NPPES Registry Identity

NPI1972574317
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMY VAN DORFY M D P A
Location Address608 GATEWAY CENTRAL, SUITE 100Marble Falls, TX 78654-6354
Mailing Address608 Gateway Central, Suite 100Marble Falls, TX 78654-6354 · (830) 693-2005 · Fax (830) 798-2006
Phone(830) 693-2005
Fax(830) 798-2006
Organization SubpartNo
Authorized OfficialAmy E Van DorfyOwner /physician · (830) 693-2005
Enumeration DateFebruary 1, 2006
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1972574317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L4778
Definition
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.
608 GATEWAY CENTRAL, Marble Falls, TX 78654
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Other Names 1

Doing Business AsLive Oak Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Live Oak Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Live Oak Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Peter Gosselink, MD
Family Practice
NPI 1770503658
608 GATEWAY CENTRAL SUITE 100
Marble Falls, TX 78654
(830) 693-2005
✔ PECOS✔ Accepts MedicareSame address
Ronald Johns, M.D.
Internal Medicine
NPI 1750376703
608 GATEWAY CENTRAL SUITE 100
Marble Falls, TX 78654
(830) 693-2005
✔ PECOS✔ Accepts MedicareSame address
Amy Van Dorfy, MD
Family Practice
NPI 1578535787
608 GATEWAY CENTRAL SUITE 100
Marble Falls, TX 78654
(830) 693-2005
✔ PECOS✔ Accepts MedicareSame address
Kara Haggart, D.O.
General Practice
NPI 1306165675
102 W DALLAS ST
Llano, TX 78643
(325) 216-9072
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1045908

Live Oak Medicine · Marble Falls, TX
Active · expires Sep 26, 2027
CLIA Number45D1045908
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorAmy E. Van Dorfy
Laboratory Phone(830) 693-2005
Laboratory LocationLive Oak Medicine608 Gateway Central Suite 100, Marble Falls, TX 78654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Van Dorfy M D P A's NPI number?

The NPI number for Amy Van Dorfy M D P A is 1972574317. It was assigned to this organization in the NPPES registry on February 1, 2006. The provider is doing business as Live Oak Medicine.

Where is Amy Van Dorfy M D P A located?

Amy Van Dorfy M D P A is located at 608 Gateway Central Suite 100, Marble Falls, TX 78654. The listed phone number is (830) 693-2005.

What is Amy Van Dorfy M D P A's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Van Dorfy M D P A enrolled in Medicare?

Yes. Amy Van Dorfy M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amy Van Dorfy M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Amy Van Dorfy M D P A, in Family Practice, General Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amy Van Dorfy M D P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1045908) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amy Van Dorfy M D P A was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.