Mary Michele Lagorio, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS8741 Issued in FL

Practice address

11750 Old River Rd
Hopland, CA 95449-2132

Phone

(707) 972-5415

Fax

(707) 744-3337

NPI assigned

Nov 24, 2006

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Ocala, LLC

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1871639708
  NPD
• Ocala Hospitalist Group P a

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1750409736
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1144396060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 OLD RIVER RD",
            "city": "HOPLAND",
            "state": "CA",
            "postal_code": "954492132",
            "telephone_number": "707-972-5415",
            "fax_number": "707-744-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 OLD RIVER RD",
            "city": "HOPLAND",
            "state": "CA",
            "postal_code": "954492132",
            "telephone_number": "707-972-5415",
            "fax_number": "707-744-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGORIO",
        "first_name": "MARY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8741",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20A6812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00471709",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57948",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "99267",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266515800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00204267",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "291851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Lee Bivens, M.D.
• Sara Gormley Kaufman, LAC
• Neri Yovani Lucero
• Heather Leeann Robles, 171400000X
• Shanel Valley Academy

• Internal Medicine Physician in Hopland, CA
• Providers in Hopland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.