Lori I Gagnon MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LORI I GAGNON MD PA

Practice address

260 Cully Dr
Kerrville, TX 78028-5950

Phone

(830) 258-7383

Fax

(830) 258-7055

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lori I Gagnon, MD

Title

Owner

Phone

(830) 258-7185

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celeste Borchers Valenzuela, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
  • NPI 1144253022
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1396856670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CULLY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285950",
            "telephone_number": "830-258-7383",
            "fax_number": "830-258-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CULLY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285950",
            "telephone_number": "830-258-7383",
            "fax_number": "830-258-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI I GAGNON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-258-7185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GRP",
            "identifier": "0039NX",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR GRP",
            "identifier": "DF5642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD INDV",
            "identifier": "184196701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184195901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD INDV",
            "identifier": "P00375637",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC INDV",
            "identifier": "8W5070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR INDV",
            "identifier": "8F4161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Theresa Locher, LMSW
• Jeannette C Long, APNP
• Nicole Longoria, COTA
• Timothy Jan Looney, MD
• Jessica Lopez, RN, MSN
• Lotus House Clinical Services, LLC
• Lotus House, LLC
• Lotus Managed Care Corporation
• Lotus Peer Recovery LLC
• Christopher Loup, LPC

• Family Medicine Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.