Richard A Lacavera, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0509 Issued in SC

Practice address

7B Pitt St
Charleston, SC 29401

Phone

(843) 723-6166

Fax

(843) 534-2980

NPI assigned

Aug 29, 2006

Last updated

May 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Carolina Eye Services, LLC

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1881996346
  NPD (past)
• Thomas a Upshaw, MD, PA

  • Adult Mental Health Clinic/Center
  • Mount Pleasant, SC
  • NPI 1669727566
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1952410763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20430",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294130430",
            "telephone_number": "843-723-6166",
            "fax_number": "843-534-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7B PITT ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29401",
            "telephone_number": "843-723-6166",
            "fax_number": "843-534-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAVERA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "0509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080145984",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005096",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa R Kynoski, PA-C
• Clolethia Michelle Laachridge
• Robert Frederick Labadie, MD
• Monica Labine Hearney, MD
• Muriel Line Labonte, RN, FNP-BC
• Belva Lauren Lacey I, NNP-BC
• Lauren Lachance
• Erin Lackey, PHARMD
• Keith Woodward Lackey, MD
• Richard Lackey, LISW-CP, LAC, CACII

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.