Organization Active NPI

Tara H Lawlor Dermatology Inc

  • Dermatology Physician
  • Reading, PA
National Provider Identifier
1114302262
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TARA H LAWLOR DERMATOLOGY INC
Practice address
2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2264
Phone
(610) 301-0306
Fax
(610) 628-9011
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Tara H. Lawlor, DONPI 1326088600
Title
Owner
Phone
(610) 301-0306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2264

Mailing address

2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2264
Phone (610) 301-0306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150828001805 PA Part B Supplier - Clinic/Group Practice 4880900398 Receives reassigned benefits from 2 practitioners
Practice locations: Reading, PA

National Provider Directory

National Provider Directory

Locations

2901 Saint Lawrence Ave
Ste 200201
Reading, PA 19606

2901 Saint Lawrence Ave
Ste 200
Reading, PA 19606
Phone (610) 301-0306

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1114302262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SAINT LAWRENCE AVE",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062264",
            "telephone_number": "610-301-0306",
            "fax_number": "610-628-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SAINT LAWRENCE AVE",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062264",
            "telephone_number": "610-301-0306",
            "fax_number": "610-628-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA H LAWLOR DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-301-0306",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.