LAWRENCE MEMORIAL HOSPITAL (NPI# 1174843254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174843254 |
| Entity Type | Organization |
| Organization Name | LAWRENCE MEMORIAL HOSPITAL |
| Other Organization Name | LAWRENCE SPECIALTY CARE |
| Practice Address |
1402 S Main St Ottawa KS 66067-3529 |
| Practice Telephone | 7852421707 |
| Practice Fax Number | 7852421709 |
| Mailing Telephone | 7852421707 |
| Mailing Fax Number | 7852421709 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | MRS. AMY C MILLER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7858400505 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lawrence Specialty Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083012827 | Lawrence Memorial Hospital | Pharmacy | 325 Maine St Ste 250, Lawrence, KS 66044-1360 | 2014-12-10 |
| 1548514029 | Lawrence Memorial Hospital | Clinic/Center | 201 N Walnut Street, Imboden, AR 72434 | 2012-11-05 |
| 1801077672 | Lawrence Memorial Hospital | Clinical Nurse Specialist | 313 S Union St, Mc Louth, KS 66054-4103 | 2007-11-20 |
| 1588782643 | Lawrence Memorial Hospital | Family Medicine | 600 E. 20th St, Suite # 200, Eudora, KS 66025-9068 | 2007-03-27 |
| 1164497350 | Lawrence Memorial Hospital | Clinic/Center | 505 Se Lindsey St, Hoxie, AR 72433-2224 | 2006-02-21 |
| 1457720658 | Lawrence Memorial Hospital | General Acute Care Hospital | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2015-09-17 |
| 1366811564 | Lawrence Memorial Hospital | General Acute Care Hospital | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2015-09-17 |
| 1811303407 | Lawrence Memorial Hospital | Internal Medicine | 1130 W 4th St, Suite 3201, Lawrence, KS 66044-1328 | 2014-07-03 |
| 1972949113 | Lawrence Memorial Hospital | Family Medicine | 346 Maine St, Suite 100, Lawrence, KS 66044-1393 | 2013-05-15 |
| 1992082762 | Lawrence Memorial Hospital | Internal Medicine | 1130 W 4th St, Suite 2001, Lawrence, KS 66044-1328 | 2011-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAWRENCE MEMORIAL HOSPITAL | 170 Governors Ave, Medford, MA 02155-1643 |
| Street Address |
1402 S MAIN ST |
| City | OTTAWA |
| State | KS |
| Zip Code | 66067-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296281 | Precision Cancer Center, LLC | Radiology | 1402 S Main St, Ottawa, KS 66067-3529 | 2019-10-13 |
| 1417453168 | Jacob B Goldstein Dpm LLC | Podiatrist | 1402 S Main St, Ottawa, KS 66067-3529 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
| 1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1700847043 | T.a. Rainbolt, Dds, P.a. | Dentist | 1334 S. Main Street, Ottawa, KS 66067 | 2006-03-28 |
| 1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
| Find all providers in zip 66067 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518251990 | Edward Robert Horn | General Practice | 1309 Carling Ave, Royal Ottawa Hospital, Ottawa, ONTARIO K1Z7K4 | 2011-06-03 |
| 1831263441 | Keteri M. Fleet | General Practice | 2635 Louisiana Rd, Ottawa, KS 66067-8987 | 2006-11-17 |
| 1225138191 | Michael Kent Harney | General Practice | 719 Canal St, Ottawa, IL 61350 | 2006-09-22 |
| 1174518526 | Stephan Scott Corder | General Practice | 1302 S Main St, Ste 10, Ottawa, KS 66067-3527 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| Find all providers with the same taxonomy | ||||
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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.