Active NPI
Anderson Family Medicine, PC
- Family Medicine Physician
- Anderson, IN
National Provider Identifier
1467623967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ANDERSON FAMILY MEDICINE, PC
- Practice address
- 2211 Brown St
Anderson, IN 46016-4220 - Phone
- (765) 640-2100
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark E Lawlor
- Title
- Medical Director
- Phone
- (765) 640-2100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2211 Brown St
Anderson, IN 46016-4220
Mailing address
2211 Brown St
Anderson, IN 46016-4220
Phone (765) 640-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100312000363 | IN | Part B Supplier - Clinic/Group Practice | 5890820070 |
Receives reassigned benefits from 2 practitioners Practice locations: Anderson, IN |
National Provider Directory
National Provider DirectoryLocations
2211 Brown St
Anderson, IN 46016
Phone (765) 640-2100
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Westfield, IN
- NPI 1629800644
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1578024741
-
- Cardiovascular Disease Physician
- Anderson, IN
- NPI 1649218702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1467623967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 BROWN ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164220",
"telephone_number": "765-640-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 BROWN ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164220",
"telephone_number": "765-640-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON FAMILY MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "LAWLOR",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "765-640-2100",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.