Active NPI
James G Laurenzano, M.D.
- Emergency Medicine Physician
- Springfield, MA
National Provider Identifier
1174588289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101041796
- Practice address
- 415 Cooley St
Springfield, MA 01128-1127 - Phone
- (413) 782-4878
- NPI assigned
- Apr 20, 2006
- Last updated
- Aug 18, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101041796 | VA | Primary |
Addresses
Primary practice location
415 Cooley St
Springfield, MA 01128-1127
Mailing address
8 Pinecrest Dr
Chicopee, MA 01020-2992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010243807 | Medicaid | VA | |
| 3810004626 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101041796 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Emergency Services, Inc. | Past | Accepting new patients | |
| Carilion Emergency Services, Inc. | Past | Accepting new patients | |
| Afc Physicians of Massachusetts, PC | Past | Accepting new patients | |
| Afc Physicians of Massachusetts | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1821711268
-
dba AFC Urgent Care
- Family Medicine Physician
- Springfield, MA
- NPI 1609430792
-
dba VelocityCare
- Urgent Care Clinic/Center
- Roanoke, VA
- NPI 1255602694
-
dba VelocityCare
- Urgent Care Clinic/Center
- Christiansburg, VA
- NPI 1598533879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1174588289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PINECREST DR",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010202992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COOLEY ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011281127",
"telephone_number": "413-782-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENZANO",
"first_name": "JAMES",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101041796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010243807",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004626",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.