LAWRENCE MEMORIAL HOSPITAL (NPI# 1811303407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811303407 |
| Entity Type | Organization |
| Organization Name | LAWRENCE MEMORIAL HOSPITAL |
| Other Organization Name | LAWRENCE ENDOCRINOLOGY |
| Practice Address |
1130 W 4th St Suite 3201 Lawrence KS 66044-1328 |
| Practice Telephone | 7855055885 |
| Practice Fax Number | 7855053322 |
| Mailing Telephone | 7855055885 |
| Mailing Fax Number | 7855053322 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | MRS. AMY MILLER (CREDENTIALING SPECIALISTS) |
| Authorized Official Telephone | 7855052988 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | LAWRENCE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0435907 | KS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lawrence Endocrinology | 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 |
| 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 |
| 1821383886 | Lawrence Memorial Hospital | Internal Medicine | 4525 W 6th St, Suite 100, Lawrence, KS 66049-4815 | 2011-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAWRENCE MEMORIAL HOSPITAL | 170 Governors Ave, Medford, MA 02155-1643 |
| Street Address |
1130 W 4TH ST SUITE 3201 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344709 | Sherri S. Vaughn | Family Medicine | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2005-05-31 |
| 1891247326 | Lawrence Physicians LLC | Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2016-11-01 |
| 1891102042 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2014-07-21 |
| 1548677792 | Lawrence Physicians LLC | Internal Medicine | 1130 W 4th St, Suite 3201, Lawrence, KS 66044-1328 | 2014-07-21 |
| 1275940421 | Lawrence Physicians LLC | Internal Medicine | 1130 W 4th St, Suite 2001, Lawrence, KS 66044-1328 | 2014-07-21 |
| 1346657590 | Lawrence Physicians LLC | Internal Medicine | 1130 W 4th St, Suite 2050, Lawrence, KS 66044-1328 | 2014-07-21 |
| 1467878181 | Keller Plastic Surgery LLC | Plastic Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2014-03-06 |
| 1942624903 | Jennifer Rae Dixon | Nurse Practitioner | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2014-02-12 |
| 1992082762 | Lawrence Memorial Hospital | Internal Medicine | 1130 W 4th St, Suite 2001, Lawrence, KS 66044-1328 | 2011-11-08 |
| 1164747598 | Lawrence Memorial Hospital | Surgery | 1130 W 4th St, Suite 2051, Lawrence, KS 66044-1328 | 2010-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1932209590 | Irene Lois Zide | Internal Medicine | 290 Central Ave Ste 202, Lawrence, NY 11559-8507 | 2006-09-24 |
| 1548677792 | Lawrence Physicians LLC | Internal Medicine | 1130 W 4th St, Suite 3201, Lawrence, KS 66044-1328 | 2014-07-21 |
| 1750718607 | Irene Zide Md | Internal Medicine | 290 Central Ave, Suite 202, Lawrence, NY 11559-8507 | 2013-10-07 |
| 1558441089 | W. Noah Kromholz | Internal Medicine | 141 Washington Ave, Lawrence, NY 11559-1669 | 2006-10-17 |
| 1891759650 | Emily Ying Liu | Internal Medicine | 500 Merrimack St, Riverwalk, Lawrence, MA 01843-1756 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457907370 | Kc Diabetes & Endocrinology Pa | Internal Medicine | 11661 College Blvd Ste 100, Overland Park, KS 66210-4107 | 2019-08-15 |
| 1093245979 | Endocrine Center of Kansas, LLC | Internal Medicine | 9300 E 29th St N Ste 204, Wichita, KS 67226-2183 | 2017-06-14 |
| 1356724413 | Trina Health-witchita N.w., LLC | Internal Medicine | 8414 W 13th St N, Ste 200, Wichita, KS 67212-2979 | 2015-07-07 |
| 1750769956 | Double Arrow Metabolism, LLC | Internal Medicine | 2242 N Redbud Ln, Wichita, KS 67204-5346 | 2015-05-08 |
| 1770846685 | Nichole Renee Smith | Internal Medicine | 8901 W 74th St Ste 269, Merriam, KS 66204-2202 | 2012-06-18 |
| 1356427520 | Bernard Francis Rice | Internal Medicine | 8901 West 74th St, #125, Shawnee Mission, KS 66204-2285 | 2006-10-31 |
| 1164515284 | Richard A Guthrie | Internal Medicine | 22015 W 10th St N, Mount Hope, KS 67108-9710 | 2006-10-02 |
| 1982645792 | Jeffrey D Kallsen | Internal Medicine | 12330 Metcalf Ave Ste 500a, Overland Park, KS 66213-1324 | 2006-06-10 |
| 1841255734 | Richard Gomendoza | Internal Medicine | 2090 S. Ohio St., Suite 3w, Salina, KS 67401 | 2006-04-20 |
| 1811988819 | Sajeev Balakrishnan Menon | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209 | 2005-10-31 |
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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.