Active NPI
Susan Donna Lawrence, D.O.
- Pediatrics Physician
- Athens, OH
National Provider Identifier
1093708661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34005458L
- Practice address
- 141 Columbus Rd
Athens, OH 45701-1315 - Phone
- (740) 592-4229
- Fax
- (740) 592-4232
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34005458L | OH | |
| Pediatrics Physician | 208000000X | 34005458L | OH | Primary |
Addresses
Primary practice location
141 Columbus Rd
Athens, OH 45701-1315
Mailing address
7255 Edgewood LN
Athens, OH 45701-8762
Phone (740) 541-1543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0919153 | Medicaid | OH | |
| 311155352 | Other | BUREAU OF MENTALLY HANDIC |
Other names 1
- Susan Lawrence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005458L | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774051200000",
"number": "1093708661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 EDGEWOOD LN",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018762",
"telephone_number": "740-541-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 COLUMBUS RD",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011315",
"telephone_number": "740-592-4229",
"fax_number": "740-592-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "SUSAN",
"middle_name": "DONNA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2026-03-21",
"certification_date": "2026-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34005458L",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34005458L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0919153",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF MENTALLY HANDIC",
"identifier": "311155352",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LAWRENCE",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.