Organization Active NPI

Ronald G Lavenda DPM Associates PC

  • Foot Surgery Podiatrist
  • Clinton, MA
National Provider Identifier
1003022781
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
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

Updated by the provider on Oct 30, 2007

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9737014MedicaidMA
Y77031OtherMABCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.