Individual provider Active NPI

Lauren Patricia Dorr, PA-C

  • Physician Assistant
  • Newton, MA
National Provider Identifier
1346517828
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4285 Issued in MA
Practice address
2014 Washington St
Emergency Department
Newton, MA 02462-1607
Phone
(617) 243-2800
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4285 MA Primary

Addresses

Primary practice location

2014 Washington St
Emergency Department
Newton, MA 02462-1607

Mailing address

2014 Washington St
Emergency Department
Newton, MA 02462-1607
Phone (617) 243-2800

Other names 1

  • Lauren Patricia Gaudette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20201229003027 NH Practitioner - Physician Assistant 4486812757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Health Ventures Inc 18 clinicians

Practice addresses (Care Compare)

16 Hospital Rd
Plymouth, NH 03264-1126

178 Daniel Webster Hwy
Suite a
Meredith, NH 03253-5664
Phone (603) 279-6064

389 Tenney Mountain Hwy
Plymouth, NH 03264-3724
Phone (603) 481-8787

Hospital & facility affiliations

  • Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Health Ventures Inc CurrentSince Nov 9, 2020 Accepting new patients
Speare Memorial Hospital CurrentSince Nov 9, 2020 Accepting new patients
Speare Memorial Hospital CurrentSince Nov 9, 2020 Accepting new patients

Locations

389 Tenney Mountain Hwy
Plymouth, NH 03264
Phone (603) 481-8787

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1346517828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORR",
        "first_name": "LAUREN",
        "middle_name": "PATRICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GAUDETTE",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.