Active NPI
Timothy Lawler, D.O.
- General Practice Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 66559-21
- Practice address
- 11414 W Park PL
Suite 100
Milwaukee, WI 53224-3500 - Phone
- (414) 359-0800
- NPI assigned
- Mar 13, 2009
- Last updated
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A12811 | CA | |
| General Practice Physician | 208D00000X | 66559-21 | WI | Primary |
Addresses
Primary practice location
11414 W Park PL
Suite 100
Milwaukee, WI 53224-3500
Mailing address
11414 W Park PL
Suite 100
Milwaukee, WI 53224-3500
Phone (414) 359-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2929 Health Ctr Dr
San Diego, CA 92123-2762
Phone (858) 499-2600
300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600
3075 Health Ctr Dr
Suite 401
San Diego, CA 92123-2773
Phone (858) 499-2600
344 F St
Suite 300
Chula Vista, CA 91910-2647
Phone (619) 585-4080
480 H St
Chula Vista, CA 91910-4328
Phone (858) 499-2600
8008 Frost St
Suite 106
San Diego, CA 92123-4229
Phone (858) 499-2600
8010 Frost St
FL 2
San Diego, CA 92123-4284
Phone (858) 499-2600
8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12811 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109
Interoperability endpoints
- tlawler24869@sharphealthcare.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1053552455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 W PARK PL",
"address_2": "SUITE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-359-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W PARK PL",
"address_2": "SUITE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-359-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLER",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-13",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A12811",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "66559-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.