David Robert Lawrence, MD
Individual provider Active NPI Internal Medicine Physician · Winsted, CT
NPI 1306852736 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1306852736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 031325 (CT)
- Practice address
- 200 New Hartford Rd
Winsted, CT 06098 - Phone
- (860) 738-3398
- Fax
- (860) 738-2267
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Wisconsin, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Froedtert Andthe Medical College of Wisconsin Community Physicians Inc
Practice addresses (Care Compare)
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
Hospital & facility affiliations
- Commonheart Home Health
- St Josephs Community Hospital West Bend
- Holy Family Memorial
- Cedar Lake Health and Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180509000001 | WI | Practitioner - Internal Medicine | 7315096930 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031325 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W126N7338 Flint Dr
Ste 200
Menomonee Falls, WI 53051
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451
Interoperability endpoints
- dlawrence242855@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 031325 | CT | Yes |
Addresses
Primary practice location
200 New Hartford Rd
Winsted, CT 06098
Mailing address
200 New Hartford Rd
Winsted, CT 06098
Phone (860) 738-3398
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001313254 | Medicaid | CT | |
| AS39958730001 | Other | CIGNA | |
| OV5198 | Other | PHS | |
| 2109164 | Other | AETNA US HEALTHCARE | |
| 4381225 | Other | AETNA | |
| 936922 | Other | PHS ACCESS # | |
| 010031325CT01 | Other | BLUE CROSS BLUE SHIELD | |
| 00131325401 | Other | BLUE CARE FAMILY PLAN | |
| 031325 | Other | CONNECTICARE | |
| 4381225 | Other | UNITED HEALTHCARE |
Other providers in Winsted, CT
- Kimberly Kos-Williams
- Scott Thomas Kozlak
- KP Dental Inc
- Richard Niel Krinsky
- Ruth P Lallier
- Janelle Lazzaro
- Lbittel
- Lbittel LLC
- Bridget R Logan
- David Carl Loiewski
All providers in Winsted, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.