NPIMap

Individual provider Active NPI

Justin Scott Lawing, DO

  • Family Medicine Physician
  • Gladstone, MO
National Provider Identifier
1235576752
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016013406 Issued in MO
Practice address
6420 N Prospect Ave
Gladstone, MO 64119
Phone
(913) 945-9700
Fax
(913) 945-9707
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9408100 KS
Family Medicine Physician 207Q00000X 2016013406 MO Primary

Addresses

Primary practice location

6420 N Prospect Ave
Gladstone, MO 64119

Mailing address

6420 N Prospect Ave
Gladstone, MO 64119-1530
Phone (913) 945-9700

Other identifiers 1

IdentifierTypeStateIssuer
P01726301OtherMORR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613001958 MO Practitioner - Family Practice 2860799285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

12121 Blue Ridge Ext
Suite M
Grandview, MO 64030-1193
Phone (816) 761-0684

6420 N Prospect Ave
Gladstone, MO 64119-1530

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016013406MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc Family Medicine CurrentSince Jul 18, 2016 Accepting new patients
Jayhawk Primary Care Inc Family Medicine Current Accepting new patients
Kansas University Physicians, Inc. Family Medicine CurrentSince Feb 5, 2020 Accepting new patients
Jayhawk Primary Care Inc Family Medicine CurrentSince Jul 18, 2016 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 5, 2020 Accepting new patients

Locations

6420 N Prospect Ave
Gladstone, MO 64119
Phone (913) 945-9700

12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684

5601 N Antioch Rd
Ste 12
Kansas City, MO 64119
Phone (816) 452-8000

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Interoperability endpoints

  • Direct secure messaging: jlawing184673@direct.kuha.org

Organizations & group practices 7

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 5

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1235576752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 N PROSPECT AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191530",
            "telephone_number": "913-945-9700",
            "fax_number": "913-945-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 N PROSPECT AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "64119",
            "telephone_number": "913-945-9700",
            "fax_number": "913-945-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWING",
        "first_name": "JUSTIN",
        "middle_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9408100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016013406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01726301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.