Active NPI
Gene R Lariviere, M.D.
- Surgery Physician
- Vinton, IA
National Provider Identifier
1477513984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD-30271
- Practice address
- 502 N 9TH Ave
Vinton, IA 52349-2254 - Phone
- (319) 472-6300
- Fax
- (319) 472-6348
- NPI assigned
- Mar 27, 2006
- Last updated
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-30271 | IA | Primary |
Addresses
Primary practice location
502 N 9TH Ave
Vinton, IA 52349-2254
Mailing address
502 N 9TH Ave
Vinton, IA 52349-2254
Phone (319) 472-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30271 | IA | MD | Endodontist |
| MD-30271 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Physicians of Iowa City | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Iowa City, IA
- NPI 1790069243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1477513984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N 9TH AVE",
"city": "VINTON",
"state": "IA",
"postal_code": "523492254",
"telephone_number": "319-472-6200",
"fax_number": "319-472-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N 9TH AVE",
"city": "VINTON",
"state": "IA",
"postal_code": "523492254",
"telephone_number": "319-472-6300",
"fax_number": "319-472-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIVIERE",
"first_name": "GENE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "MD-30271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinton, IA
- Samantha J Jirak, DNP
- Lagrange Pharmacy Inc
- Lagrange Pharmacy Inc.
- Alison Lagrange, ARNP
- Robert Michael Lagrange, RPH
- Monica Leborious, MA, CCC-SLP
- Brendan Dean Leiran, PA-C
- Lutheran Home for the Aged Association-East (Lutheran Home Health Agency)
- Lutheran Home for the Aged Association-East (Vinton Lutheran Home)
- Kristin Lutz, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.