Active NPI
Laurence Anthony Kirwan, M.D.
- Plastic Surgery Physician
- Norwalk, CT
National Provider Identifier
1487796777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 027865
- Practice address
- 148 East Ave
Suite 2a
Norwalk, CT 06851-5721 - Phone
- (203) 838-8844
- Fax
- (203) 774-1177
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 142977-1 | NY | |
| Plastic Surgery Physician | 208200000X | 027865 | CT | Primary |
| Plastic Surgery Physician | 208200000X | A38639 | CA |
Addresses
Primary practice location
148 East Ave
Suite 2a
Norwalk, CT 06851-5721
Mailing address
148 East Ave
Suite 2a
Norwalk, CT 06851-5721
Phone (203) 838-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204435524 | Other | CT | TAX ID |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38639 | CA | MD | Plastic Surgery Physician |
| 027865 | CT | MD | Plastic Surgery Physician |
| 142977-1 | NY | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1487796777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 EAST AVE",
"address_2": "SUITE 2A",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-838-8844",
"fax_number": "203-774-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 EAST AVE",
"address_2": "SUITE 2A",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-838-8844",
"fax_number": "203-774-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRWAN",
"first_name": "LAURENCE",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "142977-1",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CT",
"license": "027865",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A38639",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "204435524",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.