Lawrence S Mactavish Jr. (NPI# 1104858885, PAC ID# 1951363498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1104858885 |
| PAC ID by PECOS | 1951363498 |
| Professional Enrollment ID | I20041027001265 |
| Full Name | Lawrence S Mactavish Jr. |
| Organization Legal Name | LIBERTY DAYTON FOOT AND ANKLE CENTER |
| Address |
1825 Grand Ave Liberty TX 77575-4705 |
| Phone Number | 9363362633 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6507867934 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450638 | HOUSTON NORTHWEST MEDICAL CENTER |
| 670005 | MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD |
| Address | Phone | Organization |
|---|---|---|
| 17215 Red Oak Dr, Suite 102, Houston, TX 77090-2611 | 2814444114 | FOOT AND ANKLE CENTER OF NORTH HOUSTON P A |
| 8901 Fm 1960 Bypass Rd W, Suite 305, Humble, TX 77338-4019 | 2814467773 | FOOT AND ANKLE CENTER OF NORTH HOUSTON P A |
| 1825 Grand Ave, Liberty, TX 77575-4705 | 9363362633 | LIBERTY DAYTON FOOT AND ANKLE CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 82% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 82% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 44% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 44% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 44% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 44% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | LIBERTY DAYTON FOOT AND ANKLE CENTER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence S Mactavish | Podiatry | Liberty Dayton Foot and Ankle Center | 1825 Grand Ave, Liberty, TX 77575-4705 |
| Street Address |
1825 GRAND AVE |
| City | LIBERTY |
| State | TX |
| Zip | 77575-4705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence S Mactavish | Podiatry | Liberty Dayton Foot and Ankle Center | 1825 Grand Ave, Liberty, TX 77575-4705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth Poston | Physician Assistant | Firm Foundations Healthcare Clinic | 1201 N Travis, Liberty, TX 77575-3539 |
| Brandon K Smith | Physician Assistant | Firm Foundations Healthcare Clinic | 1201 N Travis, Liberty, TX 77575-3539 |
| Elissa Michelle Jacobs | Nurse Practitioner | Firm Foundations Healthcare Clinic | 1201 N Travis, Liberty, TX 77575-3539 |
| Piero A Peirano Ambut | Psychologist, Clinical | Supportive Care LLC | 1620 Magnolia St, Liberty, TX 77575-3546 |
| Gerald B Cobb | Emergency Medicine | Concord Medical Group of Texas Pllc | 1353 N Travis St, Liberty, TX 77575-3549 |
| Robby M Eaves Jr. | Emergency Medicine | Concord Medical Group of Texas Pllc | 1353 N Travis St, Liberty, TX 77575-3549 |
| Hemali Haresh Patel | Podiatry | Liberty County Hospital District No 1 | 1353 N Travis St, Liberty, TX 77575-3549 |
| Carlos O Geigel | Family Medicine | Ess of South Texas LLC | 1353 N Travis St, Liberty, TX 77575-3549 |
| Rudyard Lance Hilliard | Family Medicine | Concord Medical Group of Texas Pllc | 1353 N Travis St, Liberty, TX 77575-3549 |
| William J Jordan | Orthopedic Surgery | Liberty County Hospital District No 1 | 1353 N Travis St, Liberty, TX 77575-3549 |
| Find all physicians in zip 77575 | |||
| City | LIBERTY |
| Zip Code | 77575 |
| Specialty | PODIATRY |
| City + Specialty | LIBERTY + PODIATRY |
Please comment or provide details below to improve the information on Lawrence S Mactavish Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.