Active NPI
Lawrence E Gage, M.D.
- Cardiovascular Disease Physician
- Rochester, NY
National Provider Identifier
1093782807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 147475
- Practice address
- 30 Hagen Dr
Suite 100
Rochester, NY 14625-2658 - Phone
- (585) 338-2700
- Fax
- (585) 242-9663
- NPI assigned
- Mar 1, 2006
- Last updated
- Apr 15, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 147475 | NY | Primary |
Addresses
Primary practice location
30 Hagen Dr
Suite 100
Rochester, NY 14625-2658
Mailing address
30 Hagen Dr
Suite 100
Rochester, NY 14625-2658
Phone (585) 338-2700
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001111782 | Other | UNITED HEALTHCARE | |
| 6890 | Other | BCBS | |
| P010147475 | Other | EXCELLUS | |
| 005251461 | Other | COMM BLUE/BCBSWNY | |
| 7701224 | Other | MVP | |
| MDC186 | Other | PREFERRED CARE | |
| 4278939 | Other | AETNA | |
| PO10147475 | Other | GRIPA | |
| 000525146003 | Other | HEALTH NOW LINDEN | |
| 01377760 | Medicaid | NY | |
| 060047370 | Other | RAILROAD MEDICARE | |
| 9607291 | Other | GHI | |
| 005251461 | Other | HEALTH NOW PARNALL | |
| 301128 | Other | WELLCARE | |
| RC60147475 | Other | RCIPA |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth H. Davidson, MD, PC | Cardiovascular Disease | Past | Accepting new patients |
| Rochester Cardiopulmonary Group, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Cardiology Clinical Group | Cardiovascular Disease | Past | Accepting new patients |
| Department of Medicine Faculty Practice | Past | Accepting new patients | |
| Mobile Diagnostic Testing Services Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1811936727
-
- Neuromusculoskeletal Medicine & OMM Physician
- Rochester, NY
- NPI 1851348809
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1457547184
-
dba HealthTrac
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Buffalo, NY
- NPI 1902916448
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1710967534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1093782807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HAGEN DR",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252658",
"telephone_number": "585-338-2700",
"fax_number": "585-242-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HAGEN DR",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252658",
"telephone_number": "585-338-2700",
"fax_number": "585-242-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "LAWRENCE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "147475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0001111782",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6890",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010147475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMM BLUE/BCBSWNY",
"identifier": "005251461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "7701224",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MDC186",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4278939",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRIPA",
"identifier": "PO10147475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW LINDEN",
"identifier": "000525146003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01377760",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060047370",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9607291",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW PARNALL",
"identifier": "005251461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "301128",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCIPA",
"identifier": "RC60147475",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.