Active NPI
Gary Monroe Lawrence, M.D.
- Family Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14150
- Practice address
- 1919 E Memorial Rd
Oklahoma City, OK 73131-1253 - Phone
- (405) 341-7009
- Fax
- (405) 330-1811
- NPI assigned
- Dec 20, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14150 | OK | Primary |
Addresses
Primary practice location
1919 E Memorial Rd
Oklahoma City, OK 73131-1253
Mailing address
4401 W Memorial Rd
Suite 140
Oklahoma City, OK 73134-1785
Phone (405) 752-3162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100135780B | Other | OK | SOONERCARE |
| 100135780A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041229000487 | OK | Practitioner - Internal Medicine | 5698733277 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Restore Wound Care PLLC
Practice addresses (Care Compare)
100 NE 5TH St
Oklahoma City, OK 73104-2228
Phone (405) 203-0691
Hospital & facility affiliations
- Mercy Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Restore Wound Care PLLC | Family Medicine | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Oklahoma West Physicians Group | Family Medicine | Past | Accepting new patients |
Locations
2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
100 NE 5th St
Oklahoma City, OK 73104
Phone (405) 201-1351
4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099
1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- glawrence33072@directc.mercy.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
Family Medicine, OK
-
- Family Medicine Physician
- Weatherford, OK
- NPI 1578743993
Family Medicine
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Oklahoma City, OK
- NPI 1487748646
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1376529511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "SUITE 140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-752-3162",
"fax_number": "405-936-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731311253",
"telephone_number": "405-341-7009",
"fax_number": "405-330-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "GARY",
"middle_name": "MONROE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "14150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOONERCARE",
"identifier": "100135780B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100135780A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.
- 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.