Richard J Lavoie – Pediatrics Physician

Key facts

NPI: 1235588997
Entity type: Organization (NPI type 2)
Primary specialty: Pediatrics Physician 208000000X
Legal business name: RICHARD J LAVOIE
Practice address: 27 Lafayette St
Norwich, CT 06360-3407
Phone: (860) 887-1316
Fax: (860) 887-1418
NPI assigned: Jun 3, 2016
Organization subpart: No

Authorized official

Name: Dr. Richard J Lavoie, M.D. NPI 1679562995
Title: Sole Propietor
Phone: (860) 887-1316

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Richard J Lavoie, M.D. Pediatrics Physician · Norwich, CT · NPI 1679562995

NPD (past) Authorized official PEDIATRICS
Kayla Allen, APRN Pediatric Nurse Practitioner · Norwich, CT · NPI 1386526952

NPD (past)
Lauren Ashley Maxeiner, DNP, APRN, FNP-BC Family Nurse Practitioner · Norwich, CT · NPI 1922651264

NPD (past) FAMILY
Brittany Athena Molkenthin Pediatric Nurse Practitioner · Canterbury, CT · NPI 1962029660

NPD (past)
Lee E Weber, APRN Psychiatric/Mental Health Nurse Practitioner · Middletown, CT · NPI 1629432596

NPD (past) FAMILY

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
07D1013869	Richard J Lavoie, MD 27 Lafayette Street, Norwich, CT 06360	Certificate of waiver	Jun 17, 2027

National Provider Directory

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/24324/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	208000000X			Yes
Family Nurse Practitioner Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	363LF0000X

Addresses

Primary practice location

27 Lafayette St
Norwich, CT 06360-3407

Mailing address

27 Lafayette St
Norwich, CT 06360-3407
Phone (860) 887-1316

Other identifiers

Identifier	Type	State	Issuer
001256130	Medicaid	CT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2016.

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1235588997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603407",
            "telephone_number": "860-887-1316",
            "fax_number": "860-887-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603407",
            "telephone_number": "860-887-1316",
            "fax_number": "860-887-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J LAVOIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "LAVOIE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "860-887-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001256130",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

All providers in Norwich, CT · Pediatrics Physician in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.