Laura Bird, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAURA BIRD, MD, LLC

Practice address

2704 N Center St
Maryville, IL 62062-5624

Phone

(618) 288-0656

Fax

(618) 288-0736

NPI assigned

Mar 29, 2007

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Bird

Title

Office Manager

Phone

(618) 288-0656

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Werner, PA-C

  • Medical Physician Assistant
  • Maryville, IL
  • NPI 1124277389
  NPD (past)
• Bridget Franklin, PA

  • Physician Assistant
  • Saint Charles, MO
  • NPI 1568996213
  NPD (past)
• Marjorie Stephanie Roseboom, F.N.P

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1366682700
  NPD (past)
• Laura Snyder, P.A.-C

  • Physician Assistant
  • Fort Myers, FL
  • NPI 1548287147
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1083734610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N CENTER ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625624",
            "telephone_number": "618-288-0656",
            "fax_number": "618-288-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N CENTER ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625624",
            "telephone_number": "618-288-0656",
            "fax_number": "618-288-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA BIRD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-288-0656"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096129",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles A. Lane, MD
• James W. Lane, PHD
• Lindsey Nicole Langendorf, D.C.
• Jenny Langley, MA, LCPC
• Emerald Skai Lassiter, PA-C
• Sharon L Lavely, PT
• Legatus Emergency Services LLC
• Megan Lesko
• Lauren Lickwar, OT
• Micaela M. Liles, MS,CCC-SLP

• Family Medicine Physician in Maryville, IL
• Providers in Maryville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.