Individual provider Active NPI

Lawrence Hastings Schoch, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Madison, IN
National Provider Identifier
1194719757
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
01055597A Issued in IN
Practice address
2580 Michigan Rd
Suite 2
Madison, IN 47250-2491
Phone
(812) 265-6222
Fax
(866) 879-4830
NPI assigned
Sep 9, 2005
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01055597A IN
Addiction Medicine (Family Medicine) Physician 207QA0401X 01055597A IN Primary

Addresses

Primary practice location

2580 Michigan Rd
Suite 2
Madison, IN 47250-2491

Mailing address

122 Elmhurst LN
Madison, IN 47250-2912
Phone (812) 273-2860

Other identifiers 1

IdentifierTypeStateIssuer
200379700MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050303000521 IN Practitioner - Ophthalmology 9638123557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055597AINMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pankratz Eye Institute, LLC CurrentSince Jul 26, 2005 Accepting new patients
Pankratz Eye Institute, LLC Ophthalmology CurrentSince Jul 26, 2005 Accepting new patients
Eye Associates of Southern Indiana PC Ophthalmology Past Accepting new patients
Eye Associates of Southern Indiana PC Ophthalmology Past Accepting new patients

Locations

3135 Middle Rd
Columbus, IN 47203
Phone (812) 373-7777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1194719757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ELMHURST LN",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502912",
            "telephone_number": "812-273-2860",
            "fax_number": "866-879-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 MICHIGAN RD",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502491",
            "telephone_number": "812-265-6222",
            "fax_number": "866-879-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOCH",
        "first_name": "LAWRENCE",
        "middle_name": "HASTINGS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01055597A",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01055597A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200379700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.