Individual provider Active NPI

Laurie A Dawson, M.D

  • Emergency Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1093760472
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C41282 Issued in CA
Practice address
3451 S Mercy Rd
Gilbert, AZ 85297-0100
Phone
(888) 515-3900
NPI assigned
May 23, 2006
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C41282 CA Primary

Addresses

Primary practice location

3451 S Mercy Rd
Gilbert, AZ 85297-0100

Mailing address

3451 S Mercy Rd
Gilbert, AZ 85297-0100
Phone (888) 515-3900

Other practice location 1

1441 Florida Avenue
Modesto, CA 95350
Phone (209) 576-3883

Other identifiers 1

IdentifierTypeStateIssuer
00C412820MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41282CAMDDentist
C41282CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Med, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1093760472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970100",
            "telephone_number": "888-515-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970100",
            "telephone_number": "888-515-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Florida Avenue",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95350",
            "country_code": "US",
            "telephone_number": "209-576-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C41282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C412820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.