Individual provider Active NPI

James P Laberge, DO

  • Family Medicine Physician
  • Williamston, MI
National Provider Identifier
1790772424
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010011 Issued in MI
Practice address
2352 Hiddenview LN
Williamston, MI 48895-9584
Phone
(517) 290-7749
NPI assigned
Sep 27, 2005
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010011 MI Primary

Addresses

Primary practice location

2352 Hiddenview LN
Williamston, MI 48895-9584

Mailing address

2352 Hiddenview LN
Williamston, MI 48895-9584
Phone (517) 290-7749

Other identifiers 3

IdentifierTypeStateIssuer
114456202MedicaidMI
5330086OtherBCBS
080177564OtherRR MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20031208000194 MI Practitioner - Geriatric MedicinePractitioner - Hospice/Palliative CarePractitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2062318553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice, Hospice/Palliative Care, Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

5346 Marsh Rd
Haslett, MI 48840-8632
Phone (517) 803-2997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101010011MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laberge Family Practice PLLC Family Medicine CurrentSince Jul 1, 2000 Accepting new patients

Locations

3411 Stoneleigh Dr
Lansing, MI 48910
Phone (517) 882-1620

3945 Okemos Rd
Ste A1
Okemos, MI 48864
Phone (517) 347-3706

4780 Okemos Rd
Ste 4
Okemos, MI 48864
Phone (517) 349-1404

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.

Hospital & facility affiliations 4

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1790772424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 HIDDENVIEW LN",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959584",
            "telephone_number": "517-290-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 HIDDENVIEW LN",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959584",
            "telephone_number": "517-290-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERGE",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114456202",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5330086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "080177564",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, MI

Sources for this page

Verify at the official NPI Registry.