Individual provider Active NPI

Douglas Reed Lawler II, MD

  • Emergency Medicine Physician
  • Abingdon, VA
National Provider Identifier
1467563239
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101042381 Issued in VA
Practice address
351 Court St
Abingdon, VA 24210-2921
Phone
(276) 676-7000
Fax
(276) 676-9366
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101042381 VA Primary
Family Medicine Physician 207Q00000X 0101042381 VA

Addresses

Primary practice location

351 Court St
Abingdon, VA 24210-2921

Mailing address

18377 Lake Rd
Abingdon, VA 24211-5337
Phone (276) 676-3150

Other practice location 1

58 Carroll Street
Lebanon, VA 24266
Phone (276) 883-8000

Other identifiers 1

IdentifierTypeStateIssuer
7100150100MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smyth County Community Hospital/ Emergency Department Physicians Emergency Medicine Current Accepting new patients
Johnston Memorial Hospital Past Accepting new patients

Locations

565 Radio Hill Rd
Marion, VA 24354
Phone (276) 782-1194

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1467563239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18377 LAKE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242115337",
            "telephone_number": "276-676-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COURT ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102921",
            "telephone_number": "276-676-7000",
            "fax_number": "276-676-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "fax_number": "276-883-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "DOUGLAS",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101042381",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101042381",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100150100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.