Active NPI
Alan A. Lawrence, MD
- Surgery Physician
- Watertown, SD
National Provider Identifier
1265490288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301413 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 60.65 of 100
- Quality
- 51.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3979 | SD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Wishek Hospital-Clinic Association | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Selby, SD
- NPI 1093335333
-
- Rural Health Clinic/Center
- Herreid, SD
- NPI 1629175237
-
- Rural Health Clinic/Center
- Mobridge, SD
- NPI 1275502577
-
- Rural Health Clinic/Center
- Linton, ND
- NPI 1568471563
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.