DR. TIMOTHY D LAVIS MD NPI 1619996451

NPI Information

NPI: 1619996451
Provider Name: DR. TIMOTHY D LAVIS, MD
Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Individual

Specialization: Spinal Cord Injury Medicine

PECOS Registration: Yes

Address:
1201 BROAD ROCK BLVD
RICHMOND, VA
ZIP 23249
Phone: (804) 675-5455
Get Directions

DR. Timothy D Lavis, MD is a spinal cord injury medicine physical medicine rehabilitation in Richmond, VA. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. DR. Timothy D Lavis, MD NPI is 1619996451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 BROAD ROCK BLVD
RICHMOND, VA
ZIP 23249-001
Phone: (804) 675-5455
Fax: (804) 675-5223

The NPI 1619996451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 4/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208100000X	Physical Medicine & Rehabilitation		2006-00544	NORTH CAROLINA	No
2	2081P0004X	Physical Medicine & Rehabilitation	Spinal Cord Injury Medicine	2006-00544	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N0054A	MEDICAID	SOUTH CAROLINA
2	2055662	MEDICARE PIN	NORTH CAROLINA
3	P00354176	MEDICARE PIN	NORTH CAROLINA
4	I61016	MEDICARE UPIN	NORTH CAROLINA
5	2055662A	MEDICARE PIN	NORTH CAROLINA
6	14228	OTHER	NORTH CAROLINA	NCBCBS
7	5903885	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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