Organization Active NPI

Michael P Lawler MD S Corp

  • Internal Medicine Physician
  • Marion, IL
National Provider Identifier
1033340179
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036123376 Issued in IL
Legal business name
MICHAEL P LAWLER MD S CORP
Practice address
1129 N Carbon St Ste 3
Marion, IL 62959-1068
Phone
(618) 967-7660
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Patrick Lawler MD
Title
Physician
Phone
(618) 967-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036123376 IL Primary

Addresses

Primary practice location

1129 N Carbon St Ste 3
Marion, IL 62959-1068

Mailing address

1129 N Carbon St Ste 3
PO Box 1763
Marion, IL 62959-1068
Phone (618) 967-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000312 IL Part B Supplier - Clinic/Group Practice 7618023854 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IL

National Provider Directory

National Provider Directory

Locations

1129 N Carbon St
Ste 3
Marion, IL 62959
Phone (618) 967-7660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19170/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1033340179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N CARBON ST STE 3",
            "address_2": "PO BOX 1763",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591068",
            "telephone_number": "618-967-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N CARBON ST STE 3",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591068",
            "telephone_number": "618-967-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P LAWLER MD S CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "LAWLER MD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-967-7660"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036123376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.