Organization Active NPI

Lawrence Usher DO PC

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1487637195
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301069572 Issued in MI
Legal business name
LAWRENCE USHER DO PC
Practice address
3595 Wabeek Lake Dr W
Bloomfield Hills, MI 48302-1269
Phone
(586) 929-2988
Fax
(586) 929-2988
NPI assigned
Nov 28, 2005
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Lawrence Joseph Usher, DO
Title
President
Phone
(586) 929-2988

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 005506 MI
Internal Medicine Physician 207R00000X 4301069572 MI Primary
Internal Medicine Physician 207R00000X 083559 MI

Addresses

Primary practice location

3595 Wabeek Lake Dr W
Bloomfield Hills, MI 48302-1269

Mailing address

PO Box 250943
W Bloomfield, MI 48325-0943
Phone (586) 929-2988

Other identifiers 2

IdentifierTypeStateIssuer
1011949MedicaidMI
0F36316OtherMIBCBS OF MI

National Provider Directory

National Provider Directory

Locations

11470 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 893-5859

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1487637195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250943",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483250943",
            "telephone_number": "586-929-2988",
            "fax_number": "586-929-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 WABEEK LAKE DR W",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021269",
            "telephone_number": "586-929-2988",
            "fax_number": "586-929-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE USHER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-929-2988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "005506",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301069572",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "083559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011949",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0F36316",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.