Individual provider Active NPI

Larry E Lefevre, MD

  • Internal Medicine Physician
  • Urbana, OH
National Provider Identifier
1225005622
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35036221 Issued in OH
Practice address
1430 E US Highway 36
Ste. B
Urbana, OH 43078-9112
Phone
(937) 652-4969
Fax
(937) 652-4970
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35036221 OH Primary

Addresses

Primary practice location

1430 E US Highway 36
Ste. B
Urbana, OH 43078-9112

Mailing address

1430 E US Highway 36
Ste. B
Urbana, OH 43078-9112
Phone (937) 652-4969

Other identifiers 1

IdentifierTypeStateIssuer
0305315MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35036221OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Internal Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

31 S Stanfield Rd
Ste 202
Troy, OH 45373
Phone (800) 492-8040

31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1225005622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E US HIGHWAY 36",
            "address_2": "STE. B",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789112",
            "telephone_number": "937-652-4969",
            "fax_number": "937-652-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E US HIGHWAY 36",
            "address_2": "STE. B",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789112",
            "telephone_number": "937-652-4969",
            "fax_number": "937-652-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "LARRY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35036221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.