Active NPI
Lawrence Splitter, D.O.
- Occupational Medicine Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 036106936
- Practice address
- 3024 E Empire St Ste 3a
Bloomington, IL 61704-5402 - Phone
- (309) 556-7775
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 4185 | MT | |
| Occupational Medicine Physician | 2083X0100X | 036106936 | IL | Primary |
Addresses
Primary practice location
3024 E Empire St Ste 3a
Bloomington, IL 61704-5402
Mailing address
611 W Park St
Fapc
Urbana, IL 61801
Phone (406) 237-4114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 E War Memorial Dr
Peoria, IL 61616-7757
Phone (309) 685-4411
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4185 | MT | MD | Obstetrics & Gynecology Physician |
| 036106936 | IL | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3024 E Empire St
Ste 3A
Bloomington, IL 61704
Phone (309) 556-7700
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 6
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Rural Health Clinic/Center
- West Salem, IL
- NPI 1922475037
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1508881491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "406-237-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 E EMPIRE ST STE 3A",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617045402",
"telephone_number": "309-556-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPLITTER",
"first_name": "LAWRENCE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MT",
"license": "4185",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IL",
"license": "036106936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.