Individual provider Active NPI

Wayne W Lamorte, M.D.

  • Public Health & General Preventive Medicine Physician
  • Roxbury, MA
National Provider Identifier
1114048360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
42006 Issued in MA
Practice address
Boston Univ SHC of Med
80 East Concord Street
Roxbury, MA 02118
Phone
(617) 638-5073
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 42006 MA Primary

Addresses

Primary practice location

Boston Univ SHC of Med
80 East Concord Street
Roxbury, MA 02118

Mailing address

12 Whipple Cir
Weymouth, MA 02190-1718
Phone (617) 638-5073

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42006MAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114048360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WHIPPLE CIR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901718",
            "telephone_number": "617-638-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON UNIV SHC OF MED",
            "address_2": "80 EAST CONCORD STREET",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMORTE",
        "first_name": "WAYNE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MA",
            "license": "42006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.