LAWRENCE H WILSON (NPI# 1700853439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700853439 |
| Entity Type | Individual |
| Full Name | LAWRENCE H WILSON |
| Credential | MD |
| Practice Address |
9500 Mentor Ave Suite 100 Mentor OH 44060-8713 |
| Practice Telephone | 4403524880 |
| Practice Fax Number | 4403523629 |
| Mailing Telephone | 4403524880 |
| Mailing Fax Number | 4403523629 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35045873 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0471449 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
| 1386172542 | Lawrence Wilson | Counselor | 49 W 24th St Ste 507, New York, NY 10010-3206 | 2017-05-31 |
| 1841580974 | Lawrence Wilson | Pharmacist | 74 Tanbark Plaza, Lovingston, VA 22949-0318 | 2011-04-11 |
| 1528362662 | Lawrence Wilson | Nutritionist | 4950 S Indian Creek Rd, Prescott, AZ 86303-6180 | 2011-01-04 |
| 1366560518 | Lawrence Joe Wilson | Chiropractor | 10769 Woodside Ave, 109, Santee, CA 92071-3174 | 2007-03-27 |
| 1639229040 | Lawrence Woodrow Wilson | Family Medicine | 5701 Balloon Fiesta Parkway, Care of Blue Cross Blue Shield of New Mexico, Albuquerque, NM 87113 | 2007-01-11 |
| 1962633164 | Lawrence Eugene Wilson Jr. | Obstetrics & Gynecology | 535 Coliseum Dr, Macon, GA 31217-0104 | 2009-08-05 |
| 1982846028 | Lawrence Steven Wilson | Psychiatry & Neurology | 4422 E Columbus Dr., Tampa, FL 33605 | 2009-04-06 |
| 1760598940 | Lawrence Wade Wilson | Pharmacist | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2006-08-21 |
| 1518951342 | Lawrence A Wilson | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-08 |
| Street Address |
9500 MENTOR AVE SUITE 100 |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425146 | Stephen T Carosello | Dentist | 9500 Mentor Ave, Ste 280, Mentor, OH 44060-8715 | 2005-05-24 |
| 1891222444 | Mitchell Dylan Scher | Dentist | 9500 Mentor Ave, Mentor, OH 44060-8713 | 2017-05-15 |
| 1821547274 | Courtney Kathleen Kozek | Physician Assistant | 9500 Mentor Ave, #100, Mentor, OH 44060-8713 | 2016-09-27 |
| 1760834626 | Kaitlin Mccann | Dentist | 9500 Mentor Ave, 280, Mentor, OH 44060-8713 | 2016-07-04 |
| 1780069468 | Zackery C Dawson | Physical Therapist | 9500 Mentor Ave, Suite 210, Mentor, OH 44060-8713 | 2015-07-23 |
| 1467865337 | Great Lakes Pharmacy | Pharmacy | 9500 Mentor Ave, Suite # 110, Mentor, OH 44060-8713 | 2014-06-08 |
| 1881014199 | Kristen Bacik | Physical Therapist | 9500 Mentor Ave, Suite 210, Mentor, OH 44060-8713 | 2014-04-25 |
| 1326467747 | Nicholas Rudy | Dentist | 9500 Mentor Ave, Suite 280, Mentor, OH 44060-8713 | 2014-04-14 |
| 1154742864 | Heritage Anesthesia, LLC | Anesthesiology | 9500 Mentor Ave, Suite 380, Mentor, OH 44060 | 2013-12-23 |
| 1386909745 | Kevin D Craig | Physical Therapist | 9500 Mentor Ave, Suite 210, Mentor, OH 44060-8713 | 2012-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497948111 | Meridia Medical Group LLC | Family Medicine | 8316 Yellowbrick Rd, Mentor, OH 44060-4960 | 2007-08-27 |
| 1285848614 | Daniel J. Brock | Family Medicine | 6990 Lindsay Drive, Suite 3, Mentor, OH 44060 | 2007-05-08 |
| 1437265774 | Basil S Waldbaum | Family Medicine | 8300 Tyler Blvd., Mentor, OH 44060-4328 | 2006-08-21 |
| 1366484818 | Lake Hospital System Inc | Family Medicine | 6990 Lindsay Dr, #3, Mentor, OH 44060-4981 | 2006-06-11 |
| 1467454975 | Martha E Hackett | Family Medicine | 8300 Tyler Blvd, #300, Mentor, OH 44060-4217 | 2005-08-15 |
| 1851847222 | Paladina Health, LLC | Family Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2016-08-26 |
| 1346636628 | Richard Berry | Family Medicine | 9500 Mentor Ave Ste 100, Mentor, OH 44060 | 2015-04-13 |
| 1942580394 | Lake Hospital System | Family Medicine | 8316 Yellowbrick Rd, Mentor, OH 44060-4960 | 2011-08-17 |
| 1841433448 | Alba Kamal Gandotra | Family Medicine | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2009-04-13 |
| 1821253048 | Lake Hospital System, Inc. | Family Medicine | 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | 2008-07-28 |
| Find all providers in MENTOR | ||||
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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.