Organization Active NPI

Dr. Elizabeth Lawler, M.D., S.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Marion, IL
National Provider Identifier
1457766545
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036135003 Issued in IL
Legal business name
DR. ELIZABETH LAWLER, M.D., S.C.
Practice address
1129 N Carbon St
Marion, IL 62959-1068
Phone
(618) 967-7889
NPI assigned
Jun 26, 2014
Organization subpart
No

Practitioners 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140702000803 IL Part B Supplier - Clinic/Group Practice 8628293842 Receives reassigned benefits from 1 practitioner
Practice locations: Carbondale, IL; Marion, IL

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Elizabeth Lawler, M.D.NPI 1053553172
Title
President
Phone
(618) 967-7889

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 036135003 IL Primary

Addresses

Primary practice location

1129 N Carbon St
Marion, IL 62959-1068

Mailing address

1129 N Carbon St
P.O. Box 1733
Marion, IL 62959-1068
Phone (618) 967-7889

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2014.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1457766545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N CARBON ST",
            "address_2": "P.O. BOX 1733",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591068",
            "telephone_number": "618-967-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N CARBON ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591068",
            "telephone_number": "618-967-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELIZABETH LAWLER, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-967-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036135003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.