J.William Gerard Lavalley, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H3264 Issued in TX

Practice address

6301 Pathfinder Dr
Medical Wellness Centre
Austin, TX 78759-6168

Phone

(512) 794-8907

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• William Lavalley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1376683458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 PATHFINDER DR",
            "address_2": "MEDICAL WELLNESS CENTRE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 PATHFINDER DR",
            "address_2": "MEDICAL WELLNESS CENTRE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596168",
            "telephone_number": "512-794-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "J.WILLIAM",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H3264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "LAVALLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Craig Laurents, L.S.A.
• Kimberly Lauriston, LCSW
• Kevin A Laux, L. AC
• Jeffrey Lava, MD
• Julia Rose Michelle Lavallee, MS, RDN
• Lavanya Shankar, PHD PLLC
• Lavelle Creative LLC
• Lavender Springs LLC
• McKenzie Elise Lavengco, PA-C
• David C Laverty, M.D.

• General Practice Physician in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.