LAKEVILLE FAMILY MEDICINE PC (NPI# 1356545800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356545800 |
| Entity Type | Organization |
| Organization Name | LAKEVILLE FAMILY MEDICINE PC |
| Practice Address |
5 Precinct St Lakeville MA 02347-1427 |
| Practice Telephone | 5089476666 |
| Mailing Telephone | 5089476666 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-10-12 |
| Authorized Official Name | ROBERT JAMES GAGNON (PRESIDENT) |
| Authorized Official Telephone | 5089476666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
81226 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS BLUE CROSS | M17688 | 01 |
| Street Address |
5 PRECINCT ST |
| City | LAKEVILLE |
| State | MA |
| Zip Code | 02347-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124090493 | Robert James Gagnon | Family Medicine | 5 Precinct St, Lakeville, MA 02347-1427 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424302 | Sherry Ann Szczepkowski-demoura | Nurse Practitioner | 82 Freetown Street, Lakeville, MA 02347 | 2020-07-12 |
| 1730678038 | Wagner Pt & Performance LLC | Clinic/Center | 290 Bedford St, Lakeville, MA 02347 | 2018-05-02 |
| 1275960478 | Scott Michael Jarvis | Social Worker | 5 Bells Brook Rd, Lakeville, MA 02347 | 2013-10-02 |
| 1508034240 | Nelia M. Rodelle | Technician/Technologist | 47 Fuller Shores Road, Lakeville, MA 02347 | 2008-02-15 |
| 1497951594 | Lakeville Physical Therapy Inc | Physical Therapist | 155 Millennium Cir, Suite 114, Lakeville, MA 02347 | 2007-06-25 |
| 1609901875 | Lift & Care Systems, Inc. | Durable Medical Equipment & Medical Supplies | 7 Precinct Street, Lakeville, MA 02347 | 2007-02-21 |
| 1154479582 | Stephen Givinal Gouveia | Physical Therapist | 155 Millenium Dr, Lakeville Physical Therapy Inc Suite 114, Lakeville, MA 02347 | 2007-01-08 |
| 1992802615 | George Palaiologos | Chiropractor | 66 Main Street, Lakeville, MA 02347 | 2006-09-17 |
| 1326055419 | Cameron Luree Marzelli | Psychologist | 104 Charles Eldredge Drive, Lakeville, MA 02347 | 2006-08-02 |
| 1740295617 | Paige A Leavitt-halsall | Registered Nurse | 104 Charles Eldridge Drive, Tranquil Mind & Wellness Inc, Lakeville, MA 02347 | 2006-07-29 |
| Find all providers in zip 02347 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447562491 | Kids First Pediatrics, Ltd | Clinic/Center | 17504 Dodd Blvd, Lakeville, MN 55044-5268 | 2010-07-07 |
| 1629244686 | Mark S Mellstrom Md Pa | Clinic/Center | 20157 Icenic Trail, Lakeville, MN 55044 | 2008-04-30 |
| 1669685608 | Northfield Hospital | Clinic/Center | 9974 214th St W, Lakeville, MN 55044 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246058 | Elaine Skawski Np, LLC | Clinic/Center | 10 Hospital Dr Ste 311, Holyoke, MA 01040-6603 | 2019-07-08 |
| 1306403613 | Compassionate Care Physicians LLC | Clinic/Center | 9 Mill and Main Pl Ste 101, Maynard, MA 01754-2651 | 2019-05-22 |
| 1245721240 | Zaheen Medical Center LLC | Clinic/Center | 231 Sutton St Ste 1a, North Andover, MA 01845-1620 | 2018-05-24 |
| 1982102265 | Jacob Louis Perriello | Clinic/Center | 12 Drew Ave, Weymouth, MA 02189-2226 | 2018-02-01 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1154866234 | Sokharith Mey, Md, Pllc | Clinic/Center | 280 Union St # 402, Lynn, MA 01901-1353 | 2016-12-28 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1669830550 | Nirphemy Dambreville-lundy | Clinic/Center | 125 Gas Light Dr, 8, Weymouth, MA 02190-2142 | 2016-02-05 |
| 1891125480 | Western Massachusetts Primary Care PC | Clinic/Center | 405 Armory St, Springfield, MA 01104-2305 | 2013-11-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.