Organization Active NPI

Lawrence R Curry

  • Family Medicine Physician
  • Mishawaka, IN
National Provider Identifier
1427005990
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAWRENCE R CURRY
Practice address
524 E McKinley Ave Ste 1
Mishawaka, IN 46545-6285
Phone
(574) 256-2556
Fax
(260) 768-7214
NPI assigned
May 28, 2006
Reactivated
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Rosemarie Scott
Title
Administrator
Phone
(260) 350-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

524 E McKinley Ave Ste 1
Mishawaka, IN 46545-6285

Mailing address

524 E McKinley Ave
Mishawaka, IN 46545-6285
Phone (574) 256-2556

Other practice location 1

915 N Van Buren St
Shipshewana, IN 46565-8702
Phone (574) 256-2556

Other identifiers 3

IdentifierTypeStateIssuer
735210OtherINMEDICARE PTAN
000000101533OtherINANTHEM BCBS
100092660MedicaidIN

Other names 3

  • Lawrence R Curry DBA McKinley Medical Clinic Doing business as
  • Mckinley Medical Clinic DBA Mckinley Medical Clinic Doing business as
  • Shipshwana Medical Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com Direct

National Provider Directory

National Provider Directory

Locations

915 N Van Buren St
Shipshewana, IN 46565
Phone (260) 768-4185

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1427005990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-256-2556",
            "fax_number": "574-258-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE STE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-256-2556",
            "fax_number": "260-768-7214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 N Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Shipshewana",
            "state": "IN",
            "postal_code": "465658702",
            "country_code": "US",
            "telephone_number": "574-256-2556",
            "fax_number": "574-258-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAWRENCE R CURRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "deactivation_date": "2007-12-07",
        "reactivation_date": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-350-2180"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "735210",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000101533",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092660",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Reports, TOC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com",
            "address_1": "524 E McKinley Ave Ste 1",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465456285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lawrence R Curry DBA McKinley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mckinley Medical Clinic DBA Mckinley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shipshwana Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.