NPIMap

Individual provider Active NPI

John M Lawton, MD

  • Nephrology Physician
  • Green Bay, WI
National Provider Identifier
1508869587
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25976 Issued in WI
Practice address
2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300
Phone
(920) 433-9920
Fax
(920) 433-9927
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25976 WI Primary

Addresses

Primary practice location

2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300

Mailing address

2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300
Phone (920) 433-9920

Other identifiers 1

IdentifierTypeStateIssuer
30623200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000372 WI Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 3375453368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Minnesota Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300
Phone (920) 445-7226

Hospital & facility affiliations

  • DaVita Titletown Dialysis Dialysis facility, Green Bay, WI, CCN 522558
  • Fresenius Kidney Care Green Bay Dialysis facility, De Pere, WI, CCN 522627
  • DaVita Fox River Dialysis Dialysis facility, Green Bay, WI, CCN 522501
  • DaVita Shawano Lake Dialysis Dialysis facility, Shawano, WI, CCN 522511
  • Fresenius Kidney Care Lombardi Dialysis facility, Green Bay, WI, CCN 522622
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25976WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Mar 11, 2020 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 11, 2020 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients

Locations

2020 Riverside Dr
Ste 200
Green Bay, WI 54301
Phone (920) 433-9920

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1910 Riverside Dr
Green Bay, WI 54301
Phone (414) 436-4910

Interoperability endpoints

  • Direct secure messaging: jlawton925176@direct.emplifyhealth.org
  • Direct secure messaging: jlawton286828@direct.thedacare.org

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1508869587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012300",
            "telephone_number": "920-433-9920",
            "fax_number": "920-433-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012300",
            "telephone_number": "920-433-9920",
            "fax_number": "920-433-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "25976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30623200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.