PABLO LUIS GONZALEZ LAVAGNINI (NPI# 1417148297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417148297 |
| Entity Type | Individual |
| Full Name | PABLO LUIS GONZALEZ LAVAGNINI |
| Other Name | PABLO LAVAGNINI |
| Credential | MD |
| Practice Address |
602 S Atwood Rd Suite 105 Bel Air MD 21014-4172 |
| Mailing Address |
2234 Colonial Blvd Managed Care Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 4108360354 |
| Practice Fax Number | 4108360170 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D66490 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CARE FIRST BCBS-DC | 6882-0004 | 01 |
| MD | CARE FIRST BCBS-MARYLAND | 88100501 | 01 |
| MD | RAILROAD MEDICARE # | P00441742 | 01 |
| Street Address |
602 S ATWOOD RD SUITE 105 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405704 | Philip W Halstead | Internal Medicine | 602 S Atwood Rd, Suite 101, Bel Air, MD 21014-4172 | 2005-05-24 |
| 1851749212 | Griswold International, LLC | In Home Supportive Care | 602 S Atwood Rd, Suite 001, Bel Air, MD 21014-4172 | 2016-05-26 |
| 1578922233 | Stella Woods Wise | Nurse Practitioner | 602 S Atwood Rd, Bel Air, MD 21014-4172 | 2016-02-23 |
| 1740663723 | Kelsey Terrones | Nurse Practitioner | 602 S Atwood Rd, #200, Bel Air, MD 21014-4172 | 2015-07-08 |
| 1336582238 | Lifebridge Community Physicians, Inc | Internal Medicine | 602 S Atwood Rd, Suite 100, Bel Air, MD 21014-4172 | 2013-04-10 |
| 1669710802 | Bel Air Gastroenterology LLC | Internal Medicine | 602 S Atwood Rd, Suite 205, Bel Air, MD 21014-4172 | 2013-01-23 |
| 1225304769 | Cheryl Lynn Walk | Nurse Practitioner | 602 S Atwood Rd, Suite 206, Bel Air, MD 21014-4172 | 2012-03-29 |
| 1215248737 | Bel Air Gastroenterology, LLC | Specialist | 602 S Atwood Rd, Suite 205, Bel Air, MD 21014-4172 | 2010-06-30 |
| 1447575626 | Myo Thant M.d.p.a. | Internal Medicine | 602 S Atwood Rd, Suite 200, Bel Air, MD 21014-4172 | 2010-03-31 |
| 1386899045 | Mary Beth Thier | Nurse Practitioner | 602 S Atwood Rd, Suite 206, Bel Air, MD 21014-4172 | 2008-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1417392499 | Upper Chesapeake Radiation Oncology, LLC | Radiology | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2013-05-06 |
| 1619204534 | Neha Pradip Amin | Radiology | 500 Upper Chesapeake Dr, Kaufman Cancer Center, Bel Air, MD 21014-4324 | 2009-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 1295055481 | Deborah Citrin | Radiology | 10 Crc B2 3500, 10 Center Drive, Bethesda, MD 20892-0001 | 2010-06-10 |
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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.