Lawrence Edward Tamburino, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

80160 Issued in MS

Practice address

103 Service Dr
Brandon, MS 39042-2401

Phone

(601) 824-4700

Fax

(601) 824-4800

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Mississippi Foot Specialist, PLLC

  • Foot Surgery Podiatrist
  • Brandon, MS
  • NPI 1407052319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1083689277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SERVICE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422401",
            "telephone_number": "601-824-4700",
            "fax_number": "601-824-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SERVICE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422401",
            "telephone_number": "601-824-4700",
            "fax_number": "601-824-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURINO",
        "first_name": "LAWRENCE",
        "middle_name": "EDWARD",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120860",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M. Burton DMD PLLC
• Tracy Renee Sutton, RN
• D'Andrea Y Swims
• Synergy Myofascial Release & Rehab, Inc.
• Synergy Therapy Services, Inc
• Taylor Eyecare, Inc.
• Abigail J Taylor
• Alisha Taylor
• Amber Taylor, NP
• Anna Pope Taylor, O.D.

• Foot Surgery Podiatrist in Brandon, MS
• Providers in Brandon, MS by specialty
• Foot Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.

Verify at the official NPI Registry.