Organization Active NPI

Lawrence Family Doctors LLC

  • Health Maintenance Organization
  • Lawrence, MA
National Provider Identifier
1295853927
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
155025 Issued in MA
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

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Joel Adam Gorn, MDNPI 1225143571
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20050606000136 MA Part B Supplier - Clinic/Group Practice 6002859600 Receives reassigned benefits from 4 practitioners
Practice locations: Lawrence, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0964631Lawrence Family Doctors LLC101 Amesbury Street Suite 204, Lawrence, MA 01840Provider-performed microscopyAug 29, 2027

National Provider Directory

National Provider Directory

Locations

101 Amesbury St
Ste 204
Lawrence, MA 01840
Phone (978) 688-1919

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.