DR. JOHN PAUL LAVELLE (NPI# 1962405449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962405449 |
| Entity Type | Individual |
| Full Name | DR. JOHN PAUL LAVELLE |
| Credential | MB, BCH, FRCSI |
| Practice Address |
3801 Miranda Ave B3-117 Bldg 100 Urology (#112) Palo Alto CA 94304-1207 |
| Practice Telephone | 6504935000 |
| Practice Fax Number | 6508490319 |
| Mailing Telephone | 6504935000 |
| Mailing Fax Number | 6508490319 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 200000870 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89126KY | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942462494 | John M Lavelle | Physical Medicine & Rehabilitation | 1819 Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2008-06-26 |
| 1538379870 | John Christopher Lavelle | Family Medicine | 2501 South State Hwy 121, Suite 1100, Lewisville, TX 75067 | 2007-05-23 |
| 1376511832 | John Lavelle | Emergency Medicine | 1325 Broadway St, Rockport, TX 78382-3333 | 2006-03-10 |
| Street Address |
3801 MIRANDA AVE B3-117 BLDG 100 UROLOGY (#112) |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| 1164030573 | Isabelle Beatrice Wong | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306865241 | Joseph Liao | Urology | 3801 Miranda Ave. (112), Palo Alto, CA 94302 | 2006-07-19 |
| 1518387224 | William Brubaker | Urology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2014-04-21 |
| 1750558193 | Ekene Enemchukwu | Urology | 1000 Welch Rd, Suite 100, Palo Alto, CA 94304-1811 | 2008-05-14 |
| 1114192119 | Yuka Yamaguchi | Urology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2008-04-30 |
| 1275720351 | Geoffrey A. Sonn | Urology | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2007-10-02 |
| 1649315292 | Christopher Kennerly Payne | Urology | 900 Blake Wilbur Dr, Suite W2001, Palo Alto, CA 94304-2201 | 2007-02-21 |
| 1619048972 | Daniel Yao | Urology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2006-11-10 |
| 1093817819 | Andrew Epstein | Urology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2006-09-02 |
| 1689776403 | James Bassett Jr. | Urology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2006-09-02 |
| 1114036142 | Keith Lee | Urology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2006-08-30 |
| Find all providers in PALO ALTO | ||||
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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.