Individual provider Active NPI

Lawrence Ellis Tama, M.D.

  • Family Medicine Physician
  • Westfield, PA
National Provider Identifier
1215940390
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD040669L Issued in PA
Practice address
236 E Main St
Westfield Laurel Health Center
Westfield, PA 16950-1607
Phone
(814) 367-5911
Fax
(814) 367-2791
NPI assigned
Aug 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD040669L PA Primary

Addresses

Primary practice location

236 E Main St
Westfield Laurel Health Center
Westfield, PA 16950-1607

Mailing address

22 Walnut St
Laurel Health Center Administration Attn:Maria Smith
Wellsboro, PA 16901-1526
Phone (570) 723-0621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215940390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WALNUT ST",
            "address_2": "LAUREL HEALTH CENTER ADMINISTRATION ATTN:MARIA SMITH",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011526",
            "telephone_number": "570-723-0621",
            "fax_number": "570-724-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E MAIN ST",
            "address_2": "WESTFIELD LAUREL HEALTH CENTER",
            "city": "WESTFIELD",
            "state": "PA",
            "postal_code": "169501607",
            "telephone_number": "814-367-5911",
            "fax_number": "814-367-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMA",
        "first_name": "LAWRENCE",
        "middle_name": "ELLIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD040669L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.