Individual provider Active NPI

Alison Lavigne, M.D,

  • Radiation Oncology Physician
  • Bowie, MD
National Provider Identifier
1104152297
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D45414 Issued in MD
Practice address
4901 Telsa Dr
Suite a & B
Bowie, MD 20715-4406
Phone
(301) 805-6860
Fax
(301) 805-0755
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D45414 MD Primary

Addresses

Primary practice location

4901 Telsa Dr
Suite a & B
Bowie, MD 20715-4406

Mailing address

PO Box 418837
Boston, MA 02241-8837
Phone (607) 324-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100319000098 DC Practitioner - Radiation Oncology 0446385272 Reassigns benefits to 1 organization
I20101201001300 MD Practitioner - Radiation Oncology 0446385272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Radiation Medicine, PC Radiation Oncology CurrentSince Jan 1, 2010 Accepting new patients

Locations

11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962

4901 Tesla Dr
Ste Ab
Bowie, MD 20715

4831 Tesla Dr
Ste Ac
Bowie, MD 20715
Phone (301) 805-6860

30077 Business Center Dr
Charlotte Hall, MD 20622
Phone (301) 884-2508

20330 Seneca Meadows Pkwy
Ste B
Germantown, MD 20876

8116 Good Luck Rd
Ste LL5
Lanham, MD 20706
Phone (240) 542-3060

9905 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (240) 826-6297

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

2121 Medical Park Dr
Ste 4
Silver Spring, MD 20902
Phone (301) 681-4422

11340 Pembrooke Sq
Ste 201
Waldorf, MD 20603
Phone (301) 705-5802

11006 Veirs Mill Rd
Wheaton, MD 20902
Phone (240) 489-6262

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1104152297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418837",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418837",
            "telephone_number": "607-324-2340",
            "fax_number": "607-324-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 TELSA DR",
            "address_2": "SUITE A & B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154406",
            "telephone_number": "301-805-6860",
            "fax_number": "301-805-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "ALISON",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D45414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.