William L Laury MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILLIAM L LAURY MD PC

Practice address

834 E Upsal St
Philadelphia, PA 19119-1541

Phone

(215) 924-4440

Fax

(610) 525-0852

NPI assigned

Aug 22, 2006

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William L. Laury Sr., M.D.NPI 1407802697

Title

Ceo

Phone

(215) 924-4440

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Laury Medical Associates Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William L Laury Sr., M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1407802697
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1528174513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 E UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191541",
            "telephone_number": "215-924-4440",
            "fax_number": "610-525-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 E UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191541",
            "telephone_number": "215-924-4440",
            "fax_number": "610-525-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L LAURY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "LAURY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-924-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006482400004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO ELDER HEALTH",
            "identifier": "2166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7104021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "075910",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1078975",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF PA",
            "identifier": "0064824003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00079200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P526589",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0054066000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "37461",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laury Medical Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laury Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William a Auritt
• William B Hughes MD PC
• William Burch, MD PC
• William Curtin
• William D. Mestichelli D.D.S., P.C.
• William Z. Sun,MD
• Justin Vafa William, LCSW
• Meryl William, DO
• Katrina Williams Parnell
• Michelle A Williams- Jackson, RN, BSN

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.