Edward Joseph Laverty, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055.0031605 Issued in VT

Practice address

137 Main St Ste 102
Newport, VT 05855-4415

Phone

(802) 995-2412

Fax

(802) 334-7991

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

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 2

Specialty

Physician Assistant

Education

Hahnemann University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Counties Health Care IncGroup PAC ID 2860300936, 48 clinicians

Littleton Hospital AssociationGroup PAC ID 6901796556, shared by 4 NPIs, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304
• Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.laverty.1@28542.direct.athenahealth.com

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.

• Northern Counties Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1649236225
  Medicare reassignment Care Compare group NPD
• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  Medicare reassignment NPD
• Northern Counties Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newport, VT
  • NPI 1003564931
  NPD
• Northern Counties Health Care

  • Nurse Practitioner
  • St Johnsbury, VT
  • NPI 1609966944
  NPD (past)

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

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation
• Littleton Hospital Association

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Care Compare affiliation

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1366432478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ST STE 102",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554415",
            "telephone_number": "802-995-2412",
            "fax_number": "802-334-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Railroad St",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058191643",
            "country_code": "US",
            "telephone_number": "802-633-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERTY",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AP0387",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00038485",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "341726",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "542157",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010636",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakes Region Opticians Inc
• Alexis Tara Lynn Lantagne
• Heidi Laramee, DPT
• Tricia Lynn Laramee, M.T.
• Aydin Abyar Lathari, M.D.
• Carol Cassidy Lawlor, MED, PT, ATC, CSCS
• Laura Leigh Lawson, M.S., LCMHC, NCC
• Deborah Leach
• Kel-Lee Christina Leamy
• Kristie Leavitt, PTA

• Physician Assistant in Newport, VT
• Providers in Newport, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.