LAVERNE D GUGINO (NPI# 1760465942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760465942 |
| Entity Type | Individual |
| Full Name | LAVERNE D GUGINO |
| Credential | MD |
| Practice Address |
119 Summit Ave Winthrop MA 02152 |
| Mailing Address |
3 Maryland Farms Ste 200 Brentwood TN 37027-5005 |
| Practice Telephone | 6174180478 |
| Mailing Telephone | 6153455400 |
| Mailing Fax Number | 8884686603 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 46992 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
46992 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LG58278 | 05 | |
| MA | 6165362 | 05 | |
| MA | 6166253 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | J01021 | 01 |
| Street Address |
119 SUMMIT AVE |
| City | WINTHROP |
| State | MA |
| Zip Code | 02152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376780130 | Gregory D Whall | Social Worker | 1 Seal Harbor, #302, Winthrop, MA 02152 | 2009-01-15 |
| 1124296264 | Town of Winthrop | Public Health or Welfare | 1 Metcalf Square, Room 5 Town Hall, Winthrop, MA 02152 | 2008-02-12 |
| 1912198318 | Angela Marie Flintoff | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2007-08-09 |
| 1750503355 | James R Lee Md | Ophthalmology | 52 Crest Avenue, Winthrop, MA 02152 | 2007-05-03 |
| 1063555449 | Michael E Cagan | Acupuncturist | Seaside Wellness Center, 213 Pauline St, Winthrop, MA 02152 | 2007-02-15 |
| 1710052477 | Barry Theodore Cohen | Dentist | 113 Revere Street, Suite #1, Winthrop, MA 02152 | 2006-11-21 |
| 1912090655 | Richard A Schwartz | Dentist | 313 Main St., Winthrop, MA 02152 | 2006-10-02 |
| 1669427365 | Paul Charles Mcgee | Chiropractor | 57 Putnam Street, Winthrop, MA 02152 | 2006-05-23 |
| 1386137099 | Angela Flintoff, Ms Ccc-slp LLC | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2018-06-08 |
| 1962992701 | Stephanie Brooks | Dentist | 54 Woodside Ave, Winthrop, MA 02152 | 2018-05-17 |
| Find all providers in zip 02152 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083168256 | Shreyans Shah | Psychiatry & Neurology | 330 Brookline Ave, Shapiro 8 Tcc, Boston, MA 02215-5400 | 2016-08-05 |
| 1255642286 | Gina Deck | Psychiatry & Neurology | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-24 |
| 1164743092 | Neurology of Central Massachusetts, PC | Psychiatry & Neurology | 50 Memorial Dr, Suite 211, Leominster, MA 01453-2238 | 2010-06-15 |
| 1932339025 | Swapna Lakshmi Putta | Psychiatry & Neurology | 55 Fogg Road, Bwh Department of Neurology, Emerson 150, South Weumouth, MA 02190 | 2009-07-23 |
| 1275723413 | George A. Gonzalez, M.d., P.C. | Psychiatry & Neurology | 131 Old Road To 9 Acre Cor, Suite 660, Concord, MA 01742-4181 | 2007-07-25 |
| 1427255538 | Green Mountain Neurology, Inc | Psychiatry & Neurology | 777 North St, Suite 205, Pittsfield, MA 01201-4147 | 2007-07-02 |
| 1649227356 | Kaarkuzhali Babu Krishnamurthy | Psychiatry & Neurology | 736 Cambridge St, Boston, MA 02135-2907 | 2006-05-28 |
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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.