Organization Active NPI

Tiffany M Lawrence DO

  • Family Medicine Physician
  • Connellsville, PA
National Provider Identifier
1467650937
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010516L Issued in PA
Legal business name
TIFFANY M LAWRENCE DO
Practice address
2025 Revere Dr
Connellsville, PA 15425-1524
Phone
(724) 887-5640
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Tiffany M Pluto, D.O.NPI 1073515441
Title
Physician
Phone
(724) 468-6869

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS010516L PA Primary

Addresses

Primary practice location

2025 Revere Dr
Connellsville, PA 15425-1524

Mailing address

506 Athena Dr
PO Box 98
Delmont, PA 15626-1005
Phone (724) 468-6869

Other identifiers 2

IdentifierTypeStateIssuer
OS010516LOtherPASTATE LICENSE #
0018717080004MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467650937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ATHENA DR",
            "address_2": "PO BOX 98",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261005",
            "telephone_number": "724-468-6869",
            "fax_number": "724-468-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 REVERE DR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251524",
            "telephone_number": "724-887-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY M LAWRENCE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PLUTO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-468-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010516L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "OS010516L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018717080004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.