NPIMap

Organization Active NPI

Lawrenceburg Urgent Care

  • Urgent Care Clinic/Center
  • Lawrenceburg, IN
National Provider Identifier
1629181102
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LAWRENCEBURG URGENT CARE
Practice address
555 E Eads Pkwy
Ste 150
Lawrenceburg, IN 47025-7353
Phone
(812) 539-2911
NPI assigned
Aug 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ahmad AnjakNPI 1033158688
Title
Director
Phone
(937) 539-2911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

555 E Eads Pkwy
Ste 150
Lawrenceburg, IN 47025-7353

Mailing address

555 E Eads Pkwy Ste 150
Greendale, IN 47025-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000805 IN Part B Supplier - Clinic/Group Practice 9133182264 Receives reassigned benefits from 8 practitioners
Practice locations: Lawrenceburg, IN

National Provider Directory

National Provider Directory

Locations

587 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 539-2911

120 N Walnut St
Rising Sun, IN 47040
Phone (812) 438-1236

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629181102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E EADS PKWY STE 150",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470257353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E EADS PKWY",
            "address_2": "STE 150",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257353",
            "telephone_number": "812-539-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANJAK",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-539-2911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.