NPIMap

Individual provider Active NPI

Maurice Laperriere, MD

  • General Practice Physician
  • Whitehouse, TX
National Provider Identifier
1700854569
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G2755 Issued in TX
Practice address
403 State Highway 110 N
Whitehouse, TX 75791-3109
Phone
(903) 839-1000
Fax
(903) 839-4000
NPI assigned
Mar 9, 2006
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G2755 TX
General Practice Physician 208D00000X G2755 TX Primary

Addresses

Primary practice location

403 State Highway 110 N
Whitehouse, TX 75791-3109

Mailing address

6704 Hollytree Cir
Tyler, TX 75703-5777
Phone (403) 839-1000

Other identifiers 3

IdentifierTypeStateIssuer
8EP990OtherTXBCBSTX
1700854569OtherNPI
1352064-27MedicaidTX

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

LicenseStateTypeSpecialty
G2755TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
610 Emergency Physician Associates PLLC Emergency Medicine Past Accepting new patients
Knox County Hospital District Past Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Beltway 8 Emergency Physicians Emergency Medicine Past Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine Past Accepting new patients
Red River Valley Radiology Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maurice.laperriere.p1@direct.mmhclinic.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1700854569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 HOLLYTREE CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035777",
            "telephone_number": "403-839-1000",
            "fax_number": "403-839-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STATE HIGHWAY 110 N",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913109",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPERRIERE",
        "first_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G2755",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8EP990",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700854569",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1352064-27",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.