Active NPI
Lawrence C Deuber, PAC
- Medical Physician Assistant
- Norristown, PA
National Provider Identifier
1316925142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA003514L
- Practice address
- 50 Beech Dr
Norristown, PA 19403-5421 - Phone
- (610) 279-6100
- Fax
- (610) 279-0670
- NPI assigned
- Jan 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA000499L | PA | |
| Medical Physician Assistant | 363AM0700X | MA003514L | PA | Primary |
| Physician Assistant | 363A00000X | C50000327 | DE |
Addresses
Primary practice location
50 Beech Dr
Norristown, PA 19403-5421
Mailing address
50 Beech Drive
Norristown, PA 19403
Phone (610) 279-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000033361 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Beech Dr
Norristown, PA 19403-5421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50000327 | DE | MD | Physician Assistant |
| OA000499L | PA | MD | Physician Assistant |
| MA003514L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1316925142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BEECH DRIVE",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "19403",
"telephone_number": "610-279-6100",
"fax_number": "610-279-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BEECH DR",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194035421",
"telephone_number": "610-279-6100",
"fax_number": "610-279-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUBER",
"first_name": "LAWRENCE",
"middle_name": "C",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA000499L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA003514L",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C50000327",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000033361",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.