Active NPI
Pascal Lavergne, M.D.
- Neurological Surgery Physician
- Philadelphia, PA
National Provider Identifier
1326608779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD466286
- Practice address
- 111 11TH St, Thomas Jefferson University
Philadelphia, PA 19107 - Phone
- (215) 955-6000
- NPI assigned
- Jun 18, 2019
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD466286 | PA | Primary |
Addresses
Primary practice location
111 11TH St, Thomas Jefferson University
Philadelphia, PA 19107
Mailing address
983 Boulevard Raymond
Quebec, QC G1B1J6
CA
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD466286 | PA | MD | Neurological Surgery Physician |
Interoperability endpoints
- plavergne1006281@direct.ehre.uwmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1326608779",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "983 BOULEVARD RAYMOND",
"city": "QUEBEC",
"state": "QC",
"postal_code": "G1B1J6"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 11TH ST, THOMAS JEFFERSON UNIVERSITY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-955-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERGNE",
"first_name": "PASCAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD466286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.