KENNETH G. LAWLOR, DO, PLLC (NPI# 1801100250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801100250 |
| Entity Type | Organization |
| Organization Name | KENNETH G. LAWLOR, DO, PLLC |
| Practice Address |
3120 Clearwater Dr Prescott AZ 86305-7131 |
| Mailing Address |
Po Box 4343 Prescott AZ 86302-4343 |
| Practice Telephone | 9287178838 |
| Practice Fax Number | 9287178832 |
| Mailing Telephone | 9287178838 |
| Mailing Fax Number | 9287178832 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | DR. KENNETH GAYLE LAWLOR (OWNERPHYSICIAN) |
| Authorized Official Telephone | 9287178838 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
5487 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ LIC | 5487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955191 | Kenneth G. Lawlor, Do, Pllc | Internal Medicine | 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085-2869 | 2020-06-06 |
| Street Address |
3120 CLEARWATER DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862275 | Maria Therese Boedigheimer | Physician Assistant | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-20 |
| 1255582003 | Yavapai Regional Medical Center Physician Care LLC | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-10-09 |
| 1396919387 | Yrmc Physiciancare Internal Medicine | Clinic/Center | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-04-22 |
| 1982796686 | David Paul Danowski | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-29 |
| 1154420180 | Anthony V Torres | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-22 |
| 1265538235 | Nicholas H Rice | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-09-16 |
| 1326072000 | Allen Richard Gardner | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-07-10 |
| 1437101789 | Marc H Brickman | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2006-05-16 |
| 1619964061 | Doreen Ann Slabaugh | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1902917289 | Kenneth Gayle Lawlor | Internal Medicine | 3111 Clearwater Dr Ste A, Prescott, AZ 86305-7186 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633195 | Flow Rheumatology, Pllc | Internal Medicine | 9941 N 95th St Ste E101, Scottsdale, AZ 85258-4609 | 2020-06-14 |
| 1053898692 | Honorhealth Ambulatory | Internal Medicine | 10900 N Scottsdale Rd Ste 603, Scottsdale, AZ 85254-5252 | 2018-07-26 |
| 1780047985 | Arthritis Consultants PC | Internal Medicine | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 | 2016-04-04 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1902154859 | Shubha Kollampare | Internal Medicine | 1501 N Campbell Ave Rm 8303, Tucson, AZ 85724-5093 | 2012-08-27 |
| 1689943318 | Manfred Albrecht | Internal Medicine | 6928 N. Green Mt Place, Tucson, AZ 85718-1315 | 2011-12-27 |
| 1316263825 | Saguaro Specialty Physicians, LLC | Internal Medicine | 4881 E Grant, Suite 201, Tucson, AZ 85712 | 2010-04-09 |
| 1881823219 | Sanford Harold Roth | Internal Medicine | 6831 N 58th Pl, Paradise Valley, AZ 85253-3410 | 2009-07-07 |
| 1275774937 | Dominick George Sudano | Internal Medicine | 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 | 2009-03-10 |
| 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.