Individual provider Active NPI

Christyne Ella Lawson, M.D.

  • Family Medicine Physician
  • Bingham Farms, MI
National Provider Identifier
1063522506
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301064439 Issued in MI
Practice address
30400 Telegraph Rd
Suite 350
Bingham Farms, MI 48025-4537
Phone
(248) 353-9460
Fax
(248) 353-8084
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301064439 MI Primary

Addresses

Primary practice location

30400 Telegraph Rd
Suite 350
Bingham Farms, MI 48025-4537

Mailing address

611 Martin Luther King Jr Blvd
Suite 350
Detroit, MI 48201-2273
Phone (313) 832-6300

Other identifiers 2

IdentifierTypeStateIssuer
080F01470OtherMIBCBS
1045051380MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000054 MI Practitioner - Family Practice 5991743379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 Martin Luther King Jr Blvd
Detroit, MI 48201-2273
Phone (313) 832-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301064439MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix LLC CurrentSince Feb 1, 2026 Accepting new patients
Detroit Community Health Connection, Inc CurrentSince Dec 25, 2016 Accepting new patients
Sciometrix Inc CurrentSince Feb 1, 2026 Accepting new patients
Detroit Community Health Connection, Inc. CurrentSince Dec 25, 2016 Accepting new patients
Pavilion Family Practice PC PastSince Apr 30, 2003 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Henry Ford Cornerstone Medical Group Family Medicine Past Accepting new patients

Locations

611 Mlk Blvd
Detroit, MI 48201
Phone (313) 832-6300

111 W 7 Mile Rd
Detroit, MI 48203
Phone (313) 368-2600

13901 E Jefferson Ave
Detroit, MI 48215
Phone (313) 821-2591

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • Direct secure messaging: christyne.lawson@dchc.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFDBA
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1063522506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 350",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012273",
            "telephone_number": "313-832-6300",
            "fax_number": "313-832-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD",
            "address_2": "SUITE 350",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254537",
            "telephone_number": "248-353-9460",
            "fax_number": "248-353-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "CHRISTYNE",
        "middle_name": "ELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080F01470",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045051380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.