Active NPI
Lawrence C Price, M.D.
- Internal Medicine Physician
- Fort Smith, AR
National Provider Identifier
1518961234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R-1927
- Practice address
- 1301 S E St
Fort Smith, AR 72901-4716 - Phone
- (479) 785-2431
- Fax
- (479) 494-7787
- NPI assigned
- Jun 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R-1927 | AR | Primary |
Addresses
Primary practice location
1301 S E St
Fort Smith, AR 72901-4716
Mailing address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone (479) 785-2431
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01625591 | Medicaid | MS | |
| 4614448 | Other | AETNA | |
| 100086980A | Medicaid | OK | |
| 1354120 | Other | AR | UNITED HEALTHCARE |
| 54150 | Other | AR | BLUE CROSS/BLUE SHIELD |
| 105637001 | Medicaid | AR | |
| 12640000000 | Other | AR | QUALCHOICE |
| 1632210 | Medicaid | LA | |
| 5668904002 | Other | CIGNA | |
| 110177873 | Other | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-1927 | AR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1518961234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S 12TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014702",
"telephone_number": "479-785-2431",
"fax_number": "479-494-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S E ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014716",
"telephone_number": "479-785-2431",
"fax_number": "479-494-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "LAWRENCE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "R-1927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01625591",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4614448",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100086980A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1354120",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "54150",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105637001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "12640000000",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1632210",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5668904002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110177873",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.