Individual provider Active NPI

Erin E O'Connor Lavin, D.O.

  • Family Medicine Physician
  • Lewes, DE
National Provider Identifier
1912115429
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0011629 Issued in DE
Practice address
20251 John J Williams Hwy
Lewes, DE 19958
Phone
(302) 644-6860
Fax
(302) 644-6872
NPI assigned
May 18, 2007
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014220 PA
Family Medicine Physician 207Q00000X C2-0011629 DE Primary

Addresses

Primary practice location

20251 John J Williams Hwy
Lewes, DE 19958

Mailing address

20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone (302) 644-6860

Other identifiers 1

IdentifierTypeStateIssuer
102325358MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20160815000082 DE Practitioner - Family Practice 5395897227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Family PracticeGroup PAC ID 2466354188, 7 clinicians

Practice addresses (Care Compare)

20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone 3026446860132

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0011629DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Family Practice Family Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

20251 John J Williams Hwy
Lewes, DE 19958
Phone (302) 644-6860

Interoperability endpoints

  • Direct secure messaging: erin.lavin.1@27532.direct.athenahealth.com
  • Direct secure messaging: erinlavin@mafp.allscriptsdirect.net

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 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1912115429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "ERIN",
        "middle_name": "E O'CONNOR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014220",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0011629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102325358",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.