Active NPI
Lillian Lockwood, MD
- Emergency Medicine Physician
- Leavenworth, KS
National Provider Identifier
1093777021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 430083
- Practice address
- 3500 S 4TH St
Leavenworth, KS 66048-5043 - Phone
- (913) 680-6100
- Fax
- (913) 680-6156
- NPI assigned
- Apr 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 430083 | KS | Primary |
Addresses
Primary practice location
3500 S 4TH St
Leavenworth, KS 66048-5043
Mailing address
PO Box 331
Shawnee Mission, KS 66201-0331
Phone (913) 469-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160209002831 | KS | Order and Referring Only - Emergency Medicine | 7517852254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430083 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Anthony'S Hospital Association | Past | Accepting new patients | |
| Emergency Physicians of Salina, LLC | Emergency Medicine | Past | Accepting new patients |
| St. Anthony'S Hospital Association | Past | Accepting new patients | |
| The Covenant Group PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Emergency Medicine Physician
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- Emergency Medicine Physician
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- NPI 1306814389
-
- Critical Access Hospital
- Morrilton, AR
- NPI 1023160314
-
- Critical Access Hospital
- Morrilton, AR
- NPI 1386796670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1093777021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 331",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662010331",
"telephone_number": "913-469-4244",
"fax_number": "913-469-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485043",
"telephone_number": "913-680-6100",
"fax_number": "913-680-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "LILLIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "430083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.