Individual provider Active NPI

Ronald G. Lavenda, DPM

  • Foot Surgery Podiatrist
  • Clinton, MA
National Provider Identifier
1003812280
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1471 Issued in MA
Practice address
201 Highland St
Suite C Clinton Hospital
Clinton, MA 01510-1037
Phone
(978) 368-3990
Fax
(978) 368-3993
NPI assigned
Jun 22, 2005
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1471 MA Primary

Addresses

Primary practice location

201 Highland St
Suite C Clinton Hospital
Clinton, MA 01510-1037

Mailing address

201 Highland St
Suite C Clinton Hospital
Clinton, MA 01510-1037
Phone (978) 368-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1471MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald G Lavenda DPM Associates PC Foot Surgery PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1003812280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "LAVENDA",
        "first_name": "RONALD",
        "middle_name": "G.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 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.