Active NPI
Lawrence Family Doctors LLC
- Health Maintenance Organization
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 155025
- Legal business name
- LAWRENCE FAMILY DOCTORS LLC
- Practice address
- 101 Amesbury St
Suite 204
Lawrence, MA 01840-1323 - Phone
- (978) 688-1919
- Fax
- (978) 688-1923
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joel Adam Gorn, MD
- Title
- Medical Director
- Phone
- (978) 688-1919
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 155025 | MA | Primary |
Addresses
Primary practice location
101 Amesbury St
Suite 204
Lawrence, MA 01840-1323
Mailing address
101 Amesbury St
Suite 204
Lawrence, MA 01840-1323
Phone (978) 688-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0964631 | Lawrence Family Doctors LLC | Provider-performed microscopy | Aug 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
101 Amesbury St
Ste 204
Lawrence, MA 01840
Phone (978) 688-1919
Interoperability endpoints
- https://api.platform.athenahealth.com/768/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lawrence, MA
- NPI 1225143571
-
- Family Nurse Practitioner
- Lawrence, MA
- NPI 1942374715
-
- Family Medicine Physician
- Lawrence, MA
- NPI 1871455360
-
- Nurse Practitioner
- Lawrence, MA
- NPI 1760442230
-
- Family Medicine Physician
- Portland, OR
- NPI 1366468639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284508800000",
"number": "1295853927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AMESBURY ST",
"address_2": "SUITE 204",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401323",
"telephone_number": "978-688-1919",
"fax_number": "978-688-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AMESBURY ST",
"address_2": "SUITE 204",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401323",
"telephone_number": "978-688-1919",
"fax_number": "978-688-1923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE FAMILY DOCTORS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2010-09-15",
"status": "A",
"authorized_official_last_name": "GORN",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "978-688-1919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MA",
"license": "155025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.