Lakeville Family Medicine PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

81226 Issued in MA

Legal business name

LAKEVILLE FAMILY MEDICINE PC

Practice address

5 Precinct St
Lakeville, MA 02347-1427

Phone

(508) 947-6666

NPI assigned

Jun 11, 2007

Last updated

Oct 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert James Gagnon, MDNPI 1124090493

Title

President

Phone

(508) 947-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDACCD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert James Gagnon, MD

  • Family Medicine Physician
  • Lakeville, MA
  • NPI 1124090493
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer L Koester, MSN, APRN, FNP-C

  • Family Medicine Physician
  • Lakeville, MA
  • NPI 1407446909

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Joanne Silvia, MD

  • Family Medicine Physician
  • Middleboro, MA
  • NPI 1568575876
  NPD

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1356545800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PRECINCT ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471427",
            "telephone_number": "508-947-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PRECINCT ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471427",
            "telephone_number": "508-947-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-947-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "81226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BLUE CROSS",
            "identifier": "M17688",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Koester, MSN, APRN, FNP-C
• Judy Kohut
• Lakeside Mental Health, PLLC
• Lakeville Chiropractic, Inc
• Lakeville Dental Associates, P.C.
• Lakeville Physical Therapy Inc
• Kristy Lamoureux, AU.D
• Amanda Lane
• Rachael H Lane, MS
• Jennifer Lee Laurenza, LMHC, LMFT

• Primary Care Clinic/Center in Lakeville, MA
• Providers in Lakeville, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.