Lawrence Hartford, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003925 Issued in WA

Practice address

3240 14TH Ave NW
Olympia, WA 98502-8509

Phone

(360) 866-7990

NPI assigned

Apr 25, 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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Electrodiagnosis and Rehabilitation Associates of Tacoma PSGroup PAC ID 5597652677, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: electrodiagnosis.buckhartford@119645.advancedmd-direct.com

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.

• Electrodiagnosis & Rehabilitation Associates of Tacoma, PS

  • Specialist
  • Tacoma, WA
  • NPI 1508821422
  Medicare reassignment Care Compare group NPD
• Sound Pain Alliance

  • Pain Clinic/Center
  • Silverdale, WA
  • NPI 1184680498
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1427014745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11789",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985081789",
            "telephone_number": "360-866-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 14TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028509",
            "telephone_number": "360-866-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFORD",
        "first_name": "LAWRENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Danielle Harrison
• Amy Elise Harroun, LMP
• Kathryn Elizabeth Harshman, ARNP
• Amy Hart, LMT
• Katie Rose Hart, LMHC, CN
• Jon David Hartigan, CPC
• Nicole Hartle
• Elizabeth Bailey Hartman
• Christopher Brinson Hartness, MD
• Hartsspace LLC

• Physician Assistant in Olympia, WA
• Providers in Olympia, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.

Verify at the official NPI Registry.