Individual provider Active NPI

Lawrence P Bartel, PA

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1477518405
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000331A Issued in IN
Practice address
1777 NE Loop 410 Ste 704
San Antonio, TX 78217-5217
Phone
(210) 467-5033
Fax
(210) 467-5035
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000331A IN Primary

Addresses

Primary practice location

1777 NE Loop 410 Ste 704
San Antonio, TX 78217-5217

Mailing address

PO Box 637999
Cincinnati, OH 45263-7999
Phone (317) 682-2030

Other identifiers 2

IdentifierTypeStateIssuer
7880654OtherINAETNA
000000723894OtherINANTHEM

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000331AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Indianapolis Osteopathic Hospital Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Organizations & group practices 4

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1477518405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637999",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637999",
            "telephone_number": "317-682-2030",
            "fax_number": "317-644-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410 STE 704",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175217",
            "telephone_number": "210-467-5033",
            "fax_number": "210-467-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEL",
        "first_name": "LAWRENCE",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000331A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7880654",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000723894",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.