NPIMap

Organization Active NPI

Lawrence P Jennings M D M S C

  • Internal Medicine Physician
  • Mount Carmel, IL
National Provider Identifier
1598723504
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036063272 Issued in IL
Legal business name
LAWRENCE P JENNINGS M D M S C
Practice address
1430 College Dr
Suite a
Mount Carmel, IL 62863-2649
Phone
(618) 262-5113
Fax
(618) 263-3195
NPI assigned
May 2, 2006
Last updated
Apr 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Dr. Lawrence P Jennings, M.D.NPI 1598742520
Title
President
Phone
(618) 262-5113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036063272 IL Primary

Addresses

Primary practice location

1430 College Dr
Suite a
Mount Carmel, IL 62863-2649

Mailing address

1430 College Dr
Suite a
Mount Carmel, IL 62863-2649
Phone (618) 262-5113

Other identifiers 2

IdentifierTypeStateIssuer
P00169369OtherILMEDICARE RAILROAD
09320171OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1430 College Dr
#A
Mount Carmel, IL 62863
Phone (618) 262-5113

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1598723504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLEGE DR",
            "address_2": "SUITE A",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632649",
            "telephone_number": "618-262-5113",
            "fax_number": "618-263-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 COLLEGE DR",
            "address_2": "SUITE A",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632649",
            "telephone_number": "618-262-5113",
            "fax_number": "618-263-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE P JENNINGS M D M S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-262-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036063272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00169369",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09320171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.