Individual provider Active NPI

David Morris Lamport, PA-C

  • Medical Physician Assistant
  • Fredericktown, OH
National Provider Identifier
1245267350
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.001091RX Issued in OH
Practice address
122 Columbus Rd
Fredericktown, OH 43019-1266
Phone
(740) 694-1261
Fax
(740) 694-7145
NPI assigned
Jun 26, 2006
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.001091RX OH Primary

Addresses

Primary practice location

122 Columbus Rd
Fredericktown, OH 43019-1266

Mailing address

122 Columbus Rd
Fredericktown, OH 43019-1266
Phone (740) 694-1261

Other identifiers 1

IdentifierTypeStateIssuer
0112903MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlamport654465@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000195 OH Practitioner - Physician Assistant 9032370200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

1750 W 4TH St
Mansfield, OH 44906-1770
Phone (419) 526-8111

1820 E Mansfield St
Bucyrus, OH 44820-2018
Phone (567) 241-7160

2030 Stringtown Rd
Grove City, OH 43123-3993
Phone (614) 883-0160

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.001091RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC PastSince Jan 12, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dlamport654465@direct.ohiohealth.com

Organizations & group practices 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1245267350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 COLUMBUS RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430191266",
            "telephone_number": "740-694-1261",
            "fax_number": "740-694-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 COLUMBUS RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430191266",
            "telephone_number": "740-694-1261",
            "fax_number": "740-694-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPORT",
        "first_name": "DAVID",
        "middle_name": "MORRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-12-15",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.001091RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112903",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlamport654465@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "921 E Franklin St",
            "city": "Kenton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433262020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericktown, OH

Sources for this page

Verify at the official NPI Registry.