Active NPI
Lara Householder
- Family Medicine Physician
- Athens, OH
National Provider Identifier
1053970509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.016620
- Practice address
- 26 E Park Dr Ste 105C
Athens, OH 45701-5003 - Phone
- (740) 423-4015
- NPI assigned
- Jun 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.016620 | OH | Primary |
Addresses
Primary practice location
26 E Park Dr Ste 105C
Athens, OH 45701-5003
Mailing address
149 North St
Waterville, ME 04901-4974
Phone (207) 861-5101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lara.householder@mmhs.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 N St
Waterville, ME 04901
Phone (207) 872-1000
Hospital & facility affiliations
- Maine General Medical Center
- Mainehealth Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- lara.householder.1@15948.direct.athenahealth.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1053970509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 NORTH ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014974",
"telephone_number": "207-861-5101",
"fax_number": "207-872-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 E PARK DR STE 105C",
"city": "ATHENS",
"state": "OH",
"postal_code": "457015003",
"telephone_number": "740-423-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEHOLDER",
"first_name": "LARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-09",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.016620",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lara.householder@mmhs.medicity.net",
"affiliation": "N",
"address_1": "26 E Park Dr Ste 105C",
"city": "Athens",
"state": "OH",
"country_code": "US",
"postal_code": "457015003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.