Organization Active NPI

Lawrence S. Amesse MD, PA

  • Obstetrics Physician
  • Boynton Beach, FL
National Provider Identifier
1245650720
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
ME116927 Issued in FL
Legal business name
LAWRENCE S. AMESSE MD, PA
Practice address
10301 Hagen Ranch Rd
Suite 6
Boynton Beach, FL 33437-3724
Phone
(561) 257-0816
Fax
(561) 257-0817
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Lawrence S Amesse, M.D.NPI 1942266366
Title
President Physician
Phone
(937) 545-2011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X ME116927 FL
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X ME116927 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd
Suite 6
Boynton Beach, FL 33437-3724

Mailing address

7837 Venture Center Way
Suite 5105
Boynton Beach, FL 33437-7407
Phone (937) 545-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140718002157 FL Part B Supplier - Clinic/Group Practice 9032335591 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

10301 Hagen Ranch Rd
Ste 6
Boynton Beach, FL 33437
Phone (561) 257-0816

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1245650720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7837 VENTURE CENTER WAY",
            "address_2": "SUITE 5105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334377407",
            "telephone_number": "937-545-2011",
            "fax_number": "937-458-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD",
            "address_2": "SUITE 6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373724",
            "telephone_number": "561-257-0816",
            "fax_number": "561-257-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S. AMESSE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "AMESSE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "937-545-2011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME116927",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME116927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.