Individual provider Active NPI

Lawrence Maccree, D.O.

  • Neurological Surgery Physician
  • Oak Ridge, TN
National Provider Identifier
1376527499
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
DO25799 Issued in OR
Practice address
200 New York Ave
Suite 330
Oak Ridge, TN 37830-5212
Phone
(865) 835-5460
Fax
(865) 835-5461
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X DO25799 OR Primary

Addresses

Primary practice location

200 New York Ave
Suite 330
Oak Ridge, TN 37830-5212

Mailing address

200 New York Ave
Suite 330
Oak Ridge, TN 37830-5212
Phone (865) 835-5460

Other identifiers 3

IdentifierTypeStateIssuer
201203000OtherDOL
P00992974OtherTNMEDICARE RAILROAD CARRIER
213343MedicaidOR

Other names 1

  • Larry Maccree Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000128 TN Practitioner - NeurosurgeryPractitioner - Neurology 7113968801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

988 Oak Ridge Tpke
Suite 350
Oak Ridge, TN 37830-6964
Phone (865) 835-5460

Hospital & facility affiliations

  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion95
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2136TNMDPsychologist
DO25799ORMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jun 1, 2010 Accepting new patients
Covenant Medical Group, Inc. Neurological Surgery CurrentSince Jun 1, 2010 Accepting new patients
Crossville Medical Group PA Past Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

988 Oak Ridge Tpke
Ste 350
Oak Ridge, TN 37830
Phone (423) 483-7030

Organizations & group practices 3

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 3

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1376527499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE 330",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-835-5460",
            "fax_number": "865-835-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE 330",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-835-5460",
            "fax_number": "865-835-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCREE",
        "first_name": "LAWRENCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "DO25799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "201203000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00992974",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213343",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "MACCREE",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.