Active NPI
Lawrence Michael Maurer, DPM
- Sports Medicine Podiatrist
- Kirkland, WA
National Provider Identifier
1144210287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- PO710
- Practice address
- 12911 120TH Ave NE Ste C50
Kirkland, WA 98034-3080 - Phone
- (425) 899-3234
- Fax
- (425) 899-3235
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | PO710 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE Ste C50
Kirkland, WA 98034-3080
Mailing address
12911 120TH Ave NE Ste C50
Kirkland, WA 98034-3080
Phone (425) 899-3234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1117621 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 18, 2025 through Aug 18, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12911 120TH Ave NE
Suite C50
Kirkland, WA 98034-3080
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO710 | WA | MD | Sports Medicine Podiatrist |
Interoperability endpoints
- lawrence.maurer@wfasm.emadirect.md
- lawrence.maurer.1@30681.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1144210287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE C50",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343080",
"telephone_number": "425-899-3234",
"fax_number": "425-899-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE C50",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343080",
"telephone_number": "425-899-3234",
"fax_number": "425-899-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "LAWRENCE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "WA",
"license": "PO710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1117621",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.