Active NPI
Robert Alan Lavin, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Baltimore, MD
National Provider Identifier
1487612263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D0035084
- Practice address
- 10 N Greene St., Suite 4a-150
BT - 127, Dept. of Neurology
Baltimore, MD 21201-1524 - Phone
- (410) 605-7448
- Fax
- (410) 605-7937
- NPI assigned
- May 2, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D0035084 | MD | Primary |
Addresses
Primary practice location
10 N Greene St., Suite 4a-150
BT - 127, Dept. of Neurology
Baltimore, MD 21201-1524
Mailing address
Dept. of Neurology, Baltimore VA, Suite 4a-150
10 North Greene Street; BT-127
Baltimore, MD 21201
Phone (410) 605-7448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190281460 | Medicaid | MD |
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 |
|---|---|---|---|
| D0035084 | MD | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1487612263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. OF NEUROLOGY, BALTIMORE VA, SUITE 4A-150",
"address_2": "10 NORTH GREENE STREET; BT-127",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-605-7448",
"fax_number": "410-605-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N GREENE ST., SUITE 4A-150",
"address_2": "BT - 127, DEPT. OF NEUROLOGY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7448",
"fax_number": "410-605-7937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIN",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D0035084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190281460",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.