Active NPI
Lawrence C. Rusin, MD
- Surgery Physician
- Burlington, MA
National Provider Identifier
1811096340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 80421
- Practice address
- 41 Mall Rd
Lahey Clinic, Inc.
Burlington, MA 01805-0001 - Phone
- (781) 744-8000
- Fax
- (781) 744-5215
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 80421 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Lahey Clinic, Inc.
Burlington, MA 01805-0001
Mailing address
41 Mall Rd
Lahey Clinic, Inc.
Burlington, MA 01805-0001
Phone (781) 744-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110058187A | Medicaid | MA |
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 |
|---|---|---|---|
| 80421 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1811096340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"address_2": "LAHEY CLINIC, INC.",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000",
"fax_number": "781-744-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"address_2": "LAHEY CLINIC, INC.",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000",
"fax_number": "781-744-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSIN",
"first_name": "LAWRENCE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "80421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110058187A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.