DR. MARIVYL J. LAXER (NPI# 1225093362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225093362 |
| Entity Type | Individual |
| Full Name | DR. MARIVYL J. LAXER |
| Credential | M.D. |
| Practice Address |
827 American Legion Hwy Westport MA 02790-4128 |
| Mailing Address |
200 Mill Rd Ste 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5086365101 |
| Practice Fax Number | 5086363651 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 153456 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | ML25453 | 05 | |
| MA | 110059125A | 05 |
| Street Address |
827 AMERICAN LEGION HWY |
| City | WESTPORT |
| State | MA |
| Zip Code | 02790-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502431 | Jane M Li | Family Medicine | 827 American Legion Hwy, Westport, MA 02790-4128 | 2005-10-18 |
| 1083196844 | Jacqueline Freitas Rosa | Nurse Practitioner | 827 American Legion Hwy, Westport, MA 02790-4128 | 2018-08-29 |
| 1053713453 | Shannon L Avery-desmarais | Nurse Practitioner | 827 American Legion Hwy, Westport, MA 02790-4128 | 2014-09-17 |
| 1336552223 | Binu S Oien | Family Medicine | 827 American Legion Hwy, Westport, MA 02790-4128 | 2014-06-09 |
| 1730508557 | Southcoast Physicians Group, Inc. | Family Medicine | 827 American Legion Hwy, Westport, MA 02790-4128 | 2014-04-09 |
| 1366456360 | Nancy D. Carney | Family Medicine | 827 American Legion Hwy, Westport, MA 02790-4128 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154637536 | Veronica Joy Gagnon | Dental Hygienist | 15 Miss Rachel Trl, Po Box N171, Westport, MA 02790 | 2010-08-24 |
| 1447417837 | Karen M Burns | Registered Nurse | 780 Main Road, The Comfort of Touch, Westport, MA 02790 | 2008-05-22 |
| 1275743833 | Eric Vohnoutka | Chiropractor | 93 Union St., Westport, MA 02790 | 2007-05-23 |
| 1952322620 | Andrea Ghenta-drimbarean | Dentist | 767 Main Rd, Westport, MA 02790 | 2006-07-21 |
| 1063438349 | Westport Chiropractic, Inc | Chiropractor | 637 State Rd., Westport, MA 02790 | 2006-07-13 |
| 1053378646 | Mark P. Richard | Nurse Practitioner | 827 American Legion Highway, Westport, MA 02790 | 2006-04-27 |
| 1902153893 | Care Resource, LLC | Home Health | 829 Main Rd, Westport, MA 02790 | 2012-08-09 |
| 1578827689 | Mary Jane Mello | Dentist | 302 Village Way, Westport, MA 02790 | 2012-07-03 |
| 1083628382 | Karen Ottenstein | Family Medicine | 793 Main Rd, Westport, MA 02790 | 2006-07-29 |
| 1841564085 | Girard & Associates LLC | Local Education Agency (LEA) | 13 Kyle Jacob Rd, Westport, MA 02790-0696 | 2012-03-06 |
| Find all providers in zip 02790 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922308576 | Felice Sussman | Internal Medicine | 1400 Post Rd E, Westport, CT 06880-5527 | 2010-10-29 |
| 1104069798 | Steven W Ryder | Internal Medicine | 4 Ambler Rd W, Westport, CT 06880-3935 | 2009-04-12 |
| 1316182694 | Fred H Block | Internal Medicine | 25 River Ln, Westport, CT 06880-1926 | 2008-12-15 |
| 1205035193 | Internal Medicine of Westport, PC | Internal Medicine | 162 Kings Hwy N Ste 1, Westport, CT 06880-2425 | 2007-07-12 |
| 1821291675 | Robert C Teltser | Internal Medicine | 333 Post Rd West, Ground Floor, Westport, CT 06880 | 2007-06-08 |
| 1174657829 | Deborah A. Mayer | Internal Medicine | 131 Kings Hwy N Ste 2, Westport, CT 06880-2429 | 2007-03-15 |
| 1164550661 | David Beck | Internal Medicine | 175 Post Rd W, Suite # 2, Westport, CT 06880-4643 | 2007-02-28 |
| 1144360629 | Robban Ariel Sica | Internal Medicine | C/o West Port Integrative Medicine, LLC Suite 100, 1 Turkey Hill Road South, Westport, CT 06880 | 2007-02-07 |
| 1124120043 | Samuel Frumkin | Internal Medicine | 162 Kings Hwy N, Westport, CT 06880-2425 | 2006-09-01 |
| 1285736124 | Robert A Altbaum | Internal Medicine | 333 Post Road West, Westport, CT 06880-2425 | 2006-09-01 |
| Find all providers in WESTPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.