Active NPI
Richard J Laracy Jr., DO
- Pediatrics Physician
- Conway, NH
National Provider Identifier
1881801272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11631
- Practice address
- 7 Greenwood Ave
Conway, NH 03818-6130 - Phone
- (603) 447-3500
- Fax
- (603) 447-5568
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11631 | NH | Primary |
Addresses
Primary practice location
7 Greenwood Ave
Conway, NH 03818-6130
Mailing address
7 Greenwood Ave
Conway, NH 03818-6130
Phone (603) 447-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA61013 | Other | HARVARD PILGRIM | |
| 401454 | Other | CIGNA | |
| 30222174 | Medicaid | NH |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11631 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco River Medical Group, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20740/brand/1/csg/1/fhir/r4
- richard.laracy.1@20740.direct.athenahealth.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881801272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GREENWOOD AVE",
"city": "CONWAY",
"state": "NH",
"postal_code": "038186130",
"telephone_number": "603-447-3500",
"fax_number": "603-447-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 GREENWOOD AVE",
"city": "CONWAY",
"state": "NH",
"postal_code": "038186130",
"telephone_number": "603-447-3500",
"fax_number": "603-447-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARACY",
"first_name": "RICHARD",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "11631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA61013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "401454",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30222174",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.