Lawrence W Small, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E8915 Issued in TX

Practice address

521 Interstate 45 South
Ste 12
Huntsville, TX 77340

Phone

(936) 291-0900

Fax

(936) 291-0955

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hospital Docs PA

  • Internal Medicine Physician
  • Montgomery, TX
  • NPI 1871792309
  Medicare reassignment
• Sadler Clinic Association

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1114979127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356367296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2946",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77305",
            "telephone_number": "936-291-0900",
            "fax_number": "936-291-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 INTERSTATE 45 SOUTH",
            "address_2": "STE 12",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-291-0900",
            "fax_number": "936-291-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E8915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "P00010410",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0053JP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sims Dentisty, PLLC
• Debra B. Sims, DDS
• Stephen Michael Sims, MD
• Brice Sizemore, PHARMD
• Brenda B. Small, R.D. , L.D.
• Alexis Snyder, OTR/L, MOT
• Jesse Raymond Snyder, PHARM.D.
• Bernesha Nathiel Solomon, LVN
• John Richard Spencer
• Tina Spruell, FNP-BC

• Cardiovascular Disease Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.