Organization Active NPI

Lawrence Family Medicine & Obstetrics PA

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1528018918
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAWRENCE FAMILY MEDICINE & OBSTETRICS PA
Practice address
1220 Biltmore Dr
Lawrence, KS 66049-1995
Phone
(785) 331-1700
Fax
(785) 331-1799
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Larisa Kimuri, MD
Title
Authorized Official
Phone
(785) 331-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1220 Biltmore Dr
Lawrence, KS 66049-1995

Mailing address

1220 Biltmore Dr
Lawrence, KS 66049-1995
Phone (785) 331-1700

Other identifiers 1

IdentifierTypeStateIssuer
200004810AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1528018918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BILTMORE DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491995",
            "telephone_number": "785-331-1700",
            "fax_number": "785-331-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BILTMORE DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491995",
            "telephone_number": "785-331-1700",
            "fax_number": "785-331-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE FAMILY MEDICINE & OBSTETRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "KIMURI",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "785-331-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.