KENNETH MICHAEL LAVIN (NPI# 1770647943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770647943 |
Entity Type | Individual |
Full Name | KENNETH MICHAEL LAVIN |
Credential | DPM |
Practice Address |
272 Chauncy Street Suite 4 Mansfield MA 02048 |
Mailing Address |
272 Chauncy Street Mansfield MA 02048 |
Practice Telephone | 5083393338 |
Practice Fax Number | 5083394758 |
Mailing Telephone | 5083393338 |
Mailing Fax Number | 5083394758 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
MA1918 | MA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316579394 | Kenneth Lavin | Peer Specialist | 1805 E Western Reserve Rd Unit 25, Poland, OH 44514-5264 | 2020-02-07 |
Street Address |
272 CHAUNCY STREET SUITE 4 |
City | MANSFIELD |
State | MA |
Zip Code | 02048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
Find all providers in zip 02048 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811361918 | Dr Christopher P George and Associates LLC | Podiatrist | 1069 Lexington Ave, Mansfield, OH 44907-2265 | 2015-11-30 |
1932370467 | H.j. Kurtzman Dpm & Associates LLC | Podiatrist | 1069 Lexington Ave, Mansfield, OH 44907-2265 | 2008-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912449133 | Ayleen Gregorian Dpm | Podiatrist | 22 Park Ln, Harvard, MA 01451-1436 | 2016-11-07 |
1851625438 | John M Santo | Podiatrist | 5 Dennett Dr, Newburyport, MA 01950-3303 | 2009-09-29 |
1285825364 | Dr Malcolm I Price | Podiatrist | 79 Prichard St, Fitchburg, MA 01420-3247 | 2007-08-05 |
1205042397 | Edward T Hurwitz Dpm PC | Podiatrist | 394 W Broadway, South Boston, MA 02127-2215 | 2007-05-15 |
1225198906 | Robert W Uhrich | Podiatrist | 3 Bessom St, #249, Marblehead, MA 01945-2372 | 2006-12-11 |
1073690285 | David Crosier Whitney Sr. | Podiatrist | 95c Davis Straits, Falmouth, MA 02540-3909 | 2006-11-01 |
1467532812 | Daniel M. Rutowicz | Podiatrist | 145 Rosemary St Ste B, Needham, MA 02494-3259 | 2006-10-17 |
1790872497 | Anthony J Tickner | Podiatrist | 439 Main St, Hudson, MA 01749-1855 | 2006-10-06 |
1447343744 | Albert A Daly | Podiatrist | 253 Salem St, Malden, MA 02148-4118 | 2006-10-02 |
1184643421 | Joseph Hartigan | Podiatrist | 317 Washington St, Brookline, MA 02445-6817 | 2006-07-18 |
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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.