Individual provider Active NPI

Augustine Hicks Lawrence, M.D.

  • Obstetrics & Gynecology Physician
  • Renton, WA
National Provider Identifier
1235168188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00037577 Issued in WA
Practice address
1412 SW 43Rd St
Suite 200
Renton, WA 98055-4803
Phone
(425) 271-4910
Fax
(425) 264-1041
NPI assigned
Jul 2, 2006
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
Obstetrics & Gynecology Physician 207V00000X MD00037577 WA Primary

Addresses

Primary practice location

1412 SW 43Rd St
Suite 200
Renton, WA 98055-4803

Mailing address

1412 SW 43Rd St
Suite 200
Renton, WA 98055-4803
Phone (425) 271-4910

Other identifiers 1

IdentifierTypeStateIssuer
8243818MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050209000435 WA Practitioner - Obstetrics/Gynecology 5092601013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

660 SW 39TH St
Suite 150
Renton, WA 98057-4912
Phone (425) 690-3485

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Apr 23, 2024 Accepting new patients
Valley Medical Group-Renton CurrentSince Apr 1, 2018 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

660 SW 39th St
Ste 150
Renton, WA 98057
Phone (425) 690-3485

4033 Talbot Rd S
Ste 450
Renton, WA 98055
Phone (425) 271-4910

3600 Lind Ave SW
Ste 100
Renton, WA 98057

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

Interoperability endpoints

  • Direct secure messaging: alawrence17992@direct.valleymed.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235168188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554803",
            "telephone_number": "425-271-4910",
            "fax_number": "425-264-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554803",
            "telephone_number": "425-271-4910",
            "fax_number": "425-264-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "AUGUSTINE",
        "middle_name": "HICKS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00037577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8243818",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.