Active NPI
Ronald G Lavenda DPM Associates PC
- Foot Surgery Podiatrist
- Clinton, MA
National Provider Identifier
1003022781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- RONALD G LAVENDA DPM ASSOCIATES PC
- Practice address
- 201 Highland St
Suite C Clinton Hospital
Clinton, MA 01510-1037 - Phone
- (978) 368-3990
- Fax
- (978) 368-3993
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald G. Lavenda, DPM
- Title
- President
- Phone
- (978) 368-3990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | MA | Primary | |
| Customized Equipment (DME) | 332BC3200X | MA |
Addresses
Primary practice location
201 Highland St
Suite C Clinton Hospital
Clinton, MA 01510-1037
Mailing address
39 Brownlea Rd
Framingham, MA 01701-4253
Phone (978) 368-3990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9737014 | Medicaid | MA | |
| Y77031 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryLocations
201 Highland St
Ste C
Clinton, MA 01510
Phone (978) 368-3990
202 W Center St
West Bridgewater, MA 02379
Phone (508) 365-5022
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Foot Surgery Podiatrist
- West Bridgewater, MA
- NPI 1407035116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1003022781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BROWNLEA RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017014253",
"telephone_number": "978-368-3990",
"fax_number": "978-368-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HIGHLAND ST",
"address_2": "SUITE C CLINTON HOSPITAL",
"city": "CLINTON",
"state": "MA",
"postal_code": "015101037",
"telephone_number": "978-368-3990",
"fax_number": "978-368-3993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD G LAVENDA DPM ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "LAVENDA",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-368-3990",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9737014",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y77031",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.