Individual provider Active NPI

Alan A. Lawrence, MD

  • Surgery Physician
  • Watertown, SD
National Provider Identifier
1265490288
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3979 Issued in SD
Practice address
511 14TH Ave NE
Watertown, SD 57201-6811
Phone
(605) 886-8482
Fax
(605) 884-4300
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3979 SD Primary

Addresses

Primary practice location

511 14TH Ave NE
Watertown, SD 57201-6811

Mailing address

506 1St Ave SE
Watertown, SD 57201-4402
Phone (605) 886-8482

Other identifiers 1

IdentifierTypeStateIssuer
7301413MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100127000714 SD Practitioner - General Surgery 5991847048 Reassigns benefits to 1 organization
I20230803004565 ND Practitioner - General Surgery 5991847048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.65 of 100Reported as group
Quality
51.66
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3979SDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobridge Regional Hospital Current Accepting new patients
Wishek Hospital-Clinic Association Current Accepting new patients
Linton Hospital Current Accepting new patients
Mobridge Regional Hospital CurrentSince Jul 19, 2021 Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Sep 5, 2023 Accepting new patients
Linton Hospital Past Accepting new patients
Mobridge Regional Hospital Past Accepting new patients
Linton Hospital Past Accepting new patients

Locations

1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1265490288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016811",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ALAN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "3979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301413",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.