Individual provider Active NPI

Max Jude Laurore, M.D.

  • Obstetrics & Gynecology Physician
  • Scranton, PA
National Provider Identifier
1700055175
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD435214 Issued in PA
Practice address
531 Mt Pleasant Dr
Scranton, PA 18503-1987
Phone
(570) 342-8500
Fax
(570) 558-2290
NPI assigned
Feb 29, 2008
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301086415 MI
Obstetrics & Gynecology Physician 207V00000X MD435214 PA Primary

Addresses

Primary practice location

531 Mt Pleasant Dr
Scranton, PA 18503-1987

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlaurore109533@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000112 PA Practitioner - Obstetrics/Gynecology 1355493644 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

423 N 21St St
Suite 202
Camp Hill, PA 17011-2207
Phone (717) 763-9880

845 Helen Dr
Lebanon, PA 17042-7493
Phone (717) 273-8835

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301086415MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Oct 1, 2021 Accepting new patients
St. Joseph Medical Group Obstetrics & Gynecology CurrentSince Oct 10, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Geisinger Clinic Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2013 Accepting new patients
Wellspan Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2013 Accepting new patients
St. Joseph Medical Group CurrentSince Oct 10, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Hampden Medical Center Past Accepting new patients
The Good Samaritan Hospital of Lebanon, Pennsylvania Past Accepting new patients

Locations

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

2850 Commerce Dr
Ste 200A
Harrisburg, PA 17110
Phone (717) 901-9898

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 216
Lewisburg, PA 17837
Phone (570) 523-8700

3 Hospital Dr
Ste 312
Lewisburg, PA 17837
Phone (570) 523-8700

27 Sandy Ln
Ste 140
Lewistown, PA 17044
Phone (717) 242-2711

400 Highland Ave
Fl 4
Lewistown, PA 17044
Phone (717) 242-7099

2494 Bernville Rd
Ste 100
Reading, PA 19605
Phone (610) 378-2899

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: mlaurore290540@wellspan.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1700055175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MT PLEASANT DR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031987",
            "telephone_number": "570-342-8500",
            "fax_number": "570-558-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURORE",
        "first_name": "MAX",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301086415",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD435214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlaurore109533@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "531 Mt Pleasant Dr",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.