Organization Active NPI

Lawrence E Mumie MD PC

  • Family Medicine Physician
  • Hazleton, PA
National Provider Identifier
1639127111
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2745474 Issued in PA
Legal business name
LAWRENCE E MUMIE MD PC
Practice address
75 Airport Road
Ste 104
Hazleton, PA 18202-9541
Phone
(570) 454-1444
Fax
(570) 454-1435
NPI assigned
May 5, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Lawrence E Mumie, MD
Title
President Physician
Phone
(570) 454-1444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X PA
Family Medicine Physician 207Q00000X 2745474 PA Primary

Addresses

Primary practice location

75 Airport Road
Ste 104
Hazleton, PA 18202-9541

Mailing address

75 Airport Road
Ste 104
Hazleton, PA 18202-9541
Phone (570) 454-1444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1639127111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 AIRPORT ROAD",
            "address_2": "STE 104",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029541",
            "telephone_number": "570-454-1444",
            "fax_number": "570-454-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 AIRPORT ROAD",
            "address_2": "STE 104",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029541",
            "telephone_number": "570-454-1444",
            "fax_number": "570-454-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE E MUMIE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MUMIE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "570-454-1444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "2745474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.