Individual provider Active NPI

Salvatore Anthony Lawrence, MD

  • Internal Medicine Physician
  • Dunmore, PA
National Provider Identifier
1114966728
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD033044E Issued in PA
Practice address
108 E Drinker St
Dunmore, PA 18512-2432
Phone
(570) 343-2929
Fax
(570) 343-2209
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD033044E PA Primary

Addresses

Primary practice location

108 E Drinker St
Dunmore, PA 18512-2432

Mailing address

108 E Drinker St
Dunmore, PA 18512-2432
Phone (570) 343-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000121 PA Practitioner - Internal Medicine 6709923048 Reassigns benefits to 1 organization
Practice locations: Dunmore, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD033044EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2018 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

4004 Birney Ave
Moosic, PA 18507
Phone (570) 344-4711

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1114966728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122432",
            "telephone_number": "570-343-2929",
            "fax_number": "570-343-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122432",
            "telephone_number": "570-343-2929",
            "fax_number": "570-343-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SALVATORE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD033044E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.