DR. MARK EDWARD LAVALLEE (NPI# 1679564330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679564330 |
| Entity Type | Individual |
| Full Name | DR. MARK EDWARD LAVALLEE |
| Credential | MD |
| Practice Address |
4310 Londonderry Rd Ste 1 Harrisburg PA 17109-5302 |
| Practice Telephone | 7177912620 |
| Practice Fax Number | 7177912621 |
| Mailing Telephone | 7177912620 |
| Mailing Fax Number | 7177912621 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD060390L | PA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01049328A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200198600 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 002980953 | 01 |
| MD | 068809600 | 05 | |
| PA | 102855069 | 05 |
| Street Address |
4310 LONDONDERRY RD STE 1 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548608565 | Kush Patel | Internal Medicine | 4310 Londonderry Rd Ste 1, Harrisburg, PA 17109-5302 | 2013-06-12 |
| 1700979945 | Steven James Collina | Family Medicine | 4310 Londonderry Rd Ste 1, Harrisburg, PA 17109-5302 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164454 | Michael Cordas Jr. | Family Medicine | 4310 Londonderry Rd, 1st Floor, Suite 1-b, Harrisburg, PA 17109 | 2005-06-16 |
| 1700979945 | Steven James Collina | Family Medicine | 4310 Londonderry Rd Ste 1, Harrisburg, PA 17109-5302 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422031 | Dicesare Orthopedic Medicine LLC | Family Medicine | 8775 Norwin Ave Ste 107, North Huntingdon, PA 15642-7705 | 2020-09-15 |
| 1992329270 | Integrated Medical Group, P.C. | Family Medicine | 649 N Lewis Rd Ste 220, Royersford, PA 19468-1234 | 2020-06-03 |
| 1174158737 | Millcreek Community Hospital | Family Medicine | 5401 Peach St Ste 3400, Erie, PA 16509-2601 | 2020-03-04 |
| 1477037877 | Grand View Hospital | Family Medicine | 419 S Broad St Ste 4, Lansdale, PA 19446-3703 | 2018-09-20 |
| 1356867618 | Star Advanced Medicine LLC | Family Medicine | 2325 Heritage Center Dr Ste 215, Furlong, PA 18925-1262 | 2017-08-18 |
| 1285161604 | Fafa Tsikata | Family Medicine | 428 Orchard Ave, Yeadon, PA 19050-3114 | 2017-05-16 |
| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1952715211 | Scott Medical Health Center, PC | Family Medicine | 4472 William Penn Highway, Murrysville, PA 15668 | 2014-06-16 |
| 1558774547 | Enayetullah Neak | Family Medicine | 815 Freeport Rd., Pittsburgh, PA 15215 | 2014-06-06 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
Please comment or provide details below to improve the information on DR. MARK EDWARD LAVALLEE.
| 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.