Organization Active NPI

Lawrence Levin MD Inc

  • Rheumatology Physician
  • Medford, OR
National Provider Identifier
1336320522
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
LAWRENCE LEVIN MD INC
Practice address
1365 Poplar Dr
Medford, OR 97504-5207
Phone
(541) 245-6012
Fax
(541) 245-6012
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Linda L Storey
Title
PT Accts Supervisor
Phone
(541) 245-6012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1365 Poplar Dr
Medford, OR 97504-5207

Mailing address

1365 Poplar Dr
Medford, OR 97504-5207
Phone (541) 245-6012

Other identifiers 1

IdentifierTypeStateIssuer
286445MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1336320522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 POPLAR DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045207",
            "telephone_number": "541-245-6012",
            "fax_number": "541-245-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 POPLAR DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045207",
            "telephone_number": "541-245-6012",
            "fax_number": "541-245-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE LEVIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PT ACCTS SUPERVISOR",
        "authorized_official_telephone_number": "541-245-6012"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286445",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.