Organization Active NPI

Lawrence Plastic Surgery, P.a.

  • Plastic Surgery Physician
  • Lawrence, KS
National Provider Identifier
1093865362
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
04-25277 Issued in KS
Legal business name
LAWRENCE PLASTIC SURGERY, P.A.
Practice address
1112 W 6TH St
Suite 210
Lawrence, KS 66044-2215
Phone
(785) 843-7677
Fax
(785) 843-1657
NPI assigned
Jan 11, 2007
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Ms. Sharon Gay Harman
Title
Office Manager
Phone
(785) 843-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 04-25277 KS Primary

Addresses

Primary practice location

1112 W 6TH St
Suite 210
Lawrence, KS 66044-2215

Mailing address

1112 W 6TH St
Suite 210
Lawrence, KS 66044-2215
Phone (785) 843-7677

Other identifiers 2

IdentifierTypeStateIssuer
22872019OtherKSBCBS OF KANSAS CITY
16889OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405000740 KS Part B Supplier - Clinic/Group Practice 6608823398 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

1112 W 6th St
Ste 210
Lawrence, KS 66044
Phone (785) 843-7677

1020 SW Fairlawn Rd
Topeka, KS 66604
Phone (785) 727-7900

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1093865362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 210",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-843-7677",
            "fax_number": "785-843-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 210",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-843-7677",
            "fax_number": "785-843-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "HARMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-843-7677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-25277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "22872019",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16889",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.