Mark Lavin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R3P61 Issued in MO

Practice address

19609 E 9TH St S
Independence, MO 64056-3088

Phone

(816) 796-1412

Fax

(816) 796-3398

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Plaza Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Kansas City, MO
  • NPI 1356418156

  Body Imaging

  NPD (past)
• Northland Imaging, LLC

  • Radiology Clinic/Center
  • Kansas City, MO
  • NPI 1851441505
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1821065160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14003 BOND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19609 E 9TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640563088",
            "telephone_number": "816-796-1412",
            "fax_number": "816-796-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R3P61",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-18135",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MO",
            "license": "R3P61",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00152929",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00152876",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malena Landwehr, PHARM D
• Caleb James Lang, PHARM D
• Kayla M Lapointe
• Victoria Patricia Larkin
• Melanie Laughlin, APRN, NP-C
• Shauni Marie Lawrence, CPNP
• Haley Lawson
• LCSW, Inc
• LDS Family Services
• Thuytien Le, MD

• Diagnostic Radiology Physician in Independence, MO
• Providers in Independence, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.