Kenneth M Lavin (NPI# 1770647943, PAC ID# 3476561333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1770647943 |
PAC ID by PECOS | 3476561333 |
Professional Enrollment ID | I20060404000279 |
Full Name | Kenneth M Lavin |
Address |
272 Chauncy St Mansfield MA 02048-1257 |
Phone Number | 5083393338 |
Gender | M |
Credential | DPM |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1988 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220126 | NORWOOD HOSPITAL |
Address | Phone | Organization |
---|---|---|
272 Chauncy St, Mansfield, MA 02048-1257 | 5083393338 |
Street Address |
272 CHAUNCY ST |
City | MANSFIELD |
State | MA |
Zip | 02048-1257 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susie Deana | Physical Therapy | 200 Chauncy St, Suite 4, Mansfield, MA 02048-1200 | |
Cailin E Mcdeed | Family Medicine | Sturdy Memorial Hospital Inc | 200 Copeland Dr, Mansfield, MA 02048-1225 |
John C Shaver | Internal Medicine | Sturdy Memorial Hospital Inc | 200 Copeland Dr, Mansfield, MA 02048-1225 |
Bernadett M Jones | Certified Clinical Nurse Specialist (cns) | 100 Copeland Dr, Suite 7, Mansfield, MA 02048-1245 | |
Jon D Turesky | Oral Surgery | 100 Copeland Dr, Mansfield, MA 02048-1245 | |
Alan D Sirota | Psychologist, Clinical | 44 Wood Ave, Building 2 Suite 2, Mansfield, MA 02048-1255 | |
Debra Sirota | Clinical Social Worker | 44 Wood Ave, Build 2 Suite 2, Mansfield, MA 02048-1255 | |
Mark Proctor Jones | Psychologist, Clinical | 100 Copeland Dr, Unit 7, Mansfield, MA 02048-1296 | |
Sabrina M Gaan | Optometry | 287 School St, Suite 140, Mansfield, MA 02048-1850 | |
Renee M Gomez Chlebica | Optometry | 287 School St, Suite 140, Mansfield, MA 02048-1850 | |
Find all physicians in zip 02048 |
City | MANSFIELD |
Zip Code | 02048 |
Specialty | PODIATRY |
City + Specialty | MANSFIELD + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.