Active NPI
Fred John Lagomarsino, M.D.
- Specialist
- Belgrade, ME
National Provider Identifier
1972830594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 006249
- Practice address
- 74 Sunset Shores Lane
Belgrade, ME 04917 - Phone
- (903) 654-2316
- Fax
- (903) 874-5269
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 006249 | ME | Primary |
Addresses
Primary practice location
74 Sunset Shores Lane
Belgrade, ME 04917
Mailing address
PO Box 96
Oakland, ME 04963-0096
Phone (903) 654-2316
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006249 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1972830594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"city": "OAKLAND",
"state": "ME",
"postal_code": "049630096",
"telephone_number": "903-654-2316",
"fax_number": "903-874-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 SUNSET SHORES LANE",
"city": "BELGRADE",
"state": "ME",
"postal_code": "04917",
"telephone_number": "903-654-2316",
"fax_number": "903-874-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGOMARSINO",
"first_name": "FRED",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "006249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belgrade, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.