Active NPI
David M Lauren, D.O.
- Family Medicine Physician
- Stamford, CT
National Provider Identifier
1629069653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47449
- Practice address
- 3000 Summer St
Stamford, CT 06905-4311 - Phone
- (202) 969-2000
- Fax
- (203) 504-8733
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34005575L | OH | |
| Family Medicine Physician | 207Q00000X | 47449 | CT | Primary |
Addresses
Primary practice location
3000 Summer St
Stamford, CT 06905-4311
Mailing address
3000 Summer St
Stamford, CT 06905-4311
Phone (202) 969-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0984672 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Family Practice
- Education
- Ohio State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Summer St
Stamford, CT 06905-4311
Phone (203) 969-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005575L | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford UC PC | Current | Accepting new patients | |
| Stamford UC PC | Family Medicine | Current | Accepting new patients |
| South Zanesville Family Medical Center, Inc | Family Medicine | Past | Accepting new patients |
| Physicians Group of Southeastern Ohio Inc | Family Medicine | Past | Accepting new patients |
Locations
3000 Summer St
Stamford, CT 06905
Phone (203) 969-2000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Stamford, CT
- NPI 1316369895
-
- Urgent Care Clinic/Center
- West Haven, CT
- NPI 1508711458
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1528177730
Family Medicine
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1366558942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452988800000",
"number": "1629069653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 SUMMER ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069054311",
"telephone_number": "202-969-2000",
"fax_number": "203-504-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 SUMMER ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069054311",
"telephone_number": "202-969-2000",
"fax_number": "203-504-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUREN",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2016-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34005575L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "47449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0984672",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2016; 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.