NPIMap

Individual provider Active NPI

Lawrence J Lauridsen, DO

  • Family Medicine Physician
  • Rock Springs, WY
National Provider Identifier
1386993400
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9087A Issued in WY
Practice address
3000 College Dr
Rock Springs, WY 82901-4202
Phone
(307) 212-7708
Fax
(307) 352-8148
NPI assigned
Sep 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 995 NE
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 9087A WY Primary

Addresses

Primary practice location

3000 College Dr
Rock Springs, WY 82901-4202

Mailing address

PO Box 1359
Rock Springs, WY 82902-1359
Phone (307) 212-7708

Other practice location 1

825 Centennial Dr
Chadron, NE 69337-9400
Phone (308) 432-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000060 WY Practitioner - Family Practice 3678707916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Sweetwater County 70 clinicians
Eastern Hospital Medicine PC 26 clinicians

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

3000 College Dr
Rock Springs, WY 82901-4202
Phone (307) 212-7708

Hospital & facility affiliations

  • Rocky Mountain Home Care-Green River Home health agency, Green River, WY, CCN 537302
  • Symbii Home Health Home health agency, Afton, WY, CCN 537073
  • Hospice of Sweetwater County Hospice, Rock Springs, WY, CCN 531500
  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Sage View Care Center Nursing home, Rock Springs, WY, CCN 535056

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
72.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Nov 30, 2015 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Nov 30, 2015 Accepting new patients
Sage View SNF Operations, LLC Past Accepting new patients
North Big Horn Hospital District Past Accepting new patients
Chadron Medical Clinic PC Family Medicine Past Accepting new patients

Locations

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

3000 College Dr
Rock Springs, WY 82901
Phone (307) 212-7708

Organizations & group practices 7

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 & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1386993400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021359",
            "telephone_number": "307-212-7708",
            "fax_number": "307-352-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014202",
            "telephone_number": "307-212-7708",
            "fax_number": "307-352-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Chadron",
            "state": "NE",
            "postal_code": "693379400",
            "country_code": "US",
            "telephone_number": "308-432-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURIDSEN",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "995",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9087A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.