Individual provider Active NPI

Lawrence Tawiah, PA-C

  • Medical Physician Assistant
  • Salisbury, MD
National Provider Identifier
1508223108
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
951 Mount Hermon Rd
Salisbury, MD 21804-5159
Phone
(410) 749-4400
Fax
(410) 219-3485
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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 Primary

Addresses

Primary practice location

951 Mount Hermon Rd
Salisbury, MD 21804-5159

Mailing address

951 Mount Hermon Rd
Salisbury, MD 21804-5159
Phone (410) 749-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000910 MD Practitioner - Physician Assistant 0941599740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vel Natesan MD PAGroup PAC ID 3577558063, 8 clinicians

Practice addresses (Care Compare)

951 A Mt Hermon Rd
Salisbury, MD 21804-5159

951 Mount Hermon Rd
Salisbury, MD 21804-5159

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1508223108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MOUNT HERMON RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045159",
            "telephone_number": "410-749-4400",
            "fax_number": "410-219-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MOUNT HERMON RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045159",
            "telephone_number": "410-749-4400",
            "fax_number": "410-219-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWIAH",
        "first_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.