Individual provider Active NPI

James G Laurenzano, M.D.

  • Emergency Medicine Physician
  • Springfield, MA
National Provider Identifier
1174588289
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101041796 Issued in VA
Practice address
415 Cooley St
Springfield, MA 01128-1127
Phone
(413) 782-4878
NPI assigned
Apr 20, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010243807MedicaidVA
3810004626MedicaidWV

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

LicenseStateTypeSpecialty
0101041796VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Emergency Services, Inc. Past Accepting new patients
Carilion Emergency Services, Inc. PastSince Dec 17, 2023 Accepting new patients
Afc Physicians of Massachusetts, PC Past Accepting new patients
Afc Physicians of Massachusetts PastSince Sep 1, 2010 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.

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

Verify at the official NPI Registry.