Individual provider Active NPI

Mark K Lavigne, MD

  • Otolaryngology Physician
  • Laurinburg, NC
National Provider Identifier
1982736427
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9400093 Issued in NC
Practice address
1705 Berwick Dr # B
Laurinburg, NC 28352-5523
Phone
(910) 610-4368
Fax
(910) 610-4388
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9400093 NC Primary

Addresses

Primary practice location

1705 Berwick Dr # B
Laurinburg, NC 28352-5523

Mailing address

1705 Berwick Dr # B
Laurinburg, NC 28352-5523
Phone (910) 610-4368

Other identifiers 3

IdentifierTypeStateIssuer
N00093MedicaidSC
8951170MedicaidNC
040008249OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071128000830 NC Practitioner - Otolaryngology 0244224814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Brody School of Medicine at East Carolina University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (856) 848-3227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9400093NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc Otolaryngology CurrentSince Oct 1, 2018 Accepting new patients
Lake Wales Clinic Corp Past Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

1705 Berwick Dr
Ste B
Laurinburg, NC 28352
Phone (910) 277-0509

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27269/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1982736427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BERWICK DR # B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525523",
            "telephone_number": "910-610-4368",
            "fax_number": "910-610-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BERWICK DR # B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525523",
            "telephone_number": "910-610-4368",
            "fax_number": "910-610-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "MARK",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "9400093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00093",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8951170",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040008249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.