Jeffrey Paul Lagasse, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00032452 Issued in WA

Practice address

6708 Kenney Way
Clinton, WA 98236-8504

Phone

(360) 579-2744

NPI assigned

Aug 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1134475577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490637",
            "telephone_number": "360-579-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 KENNEY WAY",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368504",
            "telephone_number": "360-579-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGASSE",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "00032452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Jost, PMHNP-BC
• Judith Ann Kenning, RN
• Kings Royal Care
• Kolleen K Kohlrus, LMP
• Korner Pharmacy LLC
• Joanne L Leblanc, P.T.A
• William Robert Loscher, MD
• Lisa Ruth Mitchell, MFT, LMHC
• Gloria Ann Moore, L.M.H.C.
• Andrew Shannon Neff

• Emergency Medicine Physician in Clinton, WA
• Providers in Clinton, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.