NPIMap

Organization Active NPI

Lawrence Family Practice Center, PA

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1366654253
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAWRENCE FAMILY PRACTICE CENTER, PA
Practice address
4951 W 18TH St
Lawrence, KS 66047-2090
Phone
(785) 832-2865
Fax
(785) 841-3129
NPI assigned
May 4, 2007
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Dr. Chad Johanning, MDNPI 1083625818
Title
Owner
Phone
(785) 841-6540

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4951 W 18TH St
Lawrence, KS 66047-2090

Mailing address

4951 W 18TH St
Lawrence, KS 66047
Phone (785) 832-2865

Other identifiers 2

IdentifierTypeStateIssuer
27765017OtherKSBCBS OF KANSAS CITY
110160OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816001119 KS Part B Supplier - Clinic/Group Practice 8426021684 Receives reassigned benefits from 12 practitioners
Practice locations: Lawrence, KS

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
17D0929539Lawrence Family Practice Center4951 W 18TH St, Lawrence, KS 66047Provider-performed microscopyJun 17, 2027

National Provider Directory

National Provider Directory

Locations

4951 W 18th St
Lawrence, KS 66047
Phone (785) 832-2865

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECABDD

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1366654253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66047",
            "telephone_number": "785-832-2865",
            "fax_number": "785-841-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472090",
            "telephone_number": "785-832-2865",
            "fax_number": "785-841-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE FAMILY PRACTICE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHANNING",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-841-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "27765017",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110160",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.