NPIMap

Organization Active NPI

Lawrence Anaesthesia PA

  • Pain Medicine (Anesthesiology) Physician
  • Lawrence, KS
National Provider Identifier
1487618229
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
LAWRENCE ANAESTHESIA PA
Practice address
613 N 2ND St
Lawrence, KS 66044-1407
Phone
(785) 842-7026
Fax
(785) 842-7088
NPI assigned
Apr 17, 2006
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Michael D Lange, MDNPI 1629032883
Title
President
Phone
(785) 842-7026

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
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

613 N 2ND St
Lawrence, KS 66044-1407

Mailing address

613 N 2ND St
Lawrence, KS 66044-1407
Phone (785) 842-7026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000886 KS Part B Supplier - Clinic/Group Practice 6709776172 Receives reassigned benefits from 46 practitioners
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

613 N 2nd St
Lawrence, KS 66044
Phone (785) 842-7026

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1487618229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N 2ND ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441407",
            "telephone_number": "785-842-7026",
            "fax_number": "785-842-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N 2ND ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441407",
            "telephone_number": "785-842-7026",
            "fax_number": "785-842-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE ANAESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-842-7026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.