Active NPI
Richard J Lavoie, M.D.
- Pediatrics Physician
- Norwich, CT
National Provider Identifier
1679562995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 025613
- Practice address
- 27 Lafayette St
Norwich, CT 06360-3407 - Phone
- (860) 887-1316
- Fax
- (860) 887-1418
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 025613 | CT | Primary |
Addresses
Primary practice location
27 Lafayette St
Norwich, CT 06360-3407
Mailing address
27 Lafayette St
Norwich, CT 06360-3407
Phone (860) 887-1316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001256130 | Medicaid | CT |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025613 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard J Lavoie | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24324/brand/1/csg/1/fhir/r4
- richard.lavoie.1@24324.direct.athenahealth.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1679562995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 LAFAYETTE ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063603407",
"telephone_number": "860-887-1316",
"fax_number": "860-887-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 LAFAYETTE ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063603407",
"telephone_number": "860-887-1316",
"fax_number": "860-887-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVOIE",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "025613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001256130",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.