Active NPI
Lawrence M. Joseph, M.D.
- Dermatology Physician
- Pasadena, TX
National Provider Identifier
1649276692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D2481
- Practice address
- 4419 Crenshaw Rd
Pasadena, TX 77504-3628 - Phone
- (281) 991-5944
- Fax
- (281) 991-6849
- NPI assigned
- Jun 23, 2005
- Last updated
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D2481 | TX | Primary |
Addresses
Primary practice location
4419 Crenshaw Rd
Pasadena, TX 77504-3628
Mailing address
4419 Crenshaw Rd
Pasadena, TX 77504-3628
Phone (281) 991-5944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308K | Other | TX | GROUP MEDICARE ID |
| 123552503 | Medicaid | TX | |
| 80342101 | Other | TX | GROUP MEDICAID ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1649276692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 CRENSHAW RD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043628",
"telephone_number": "281-991-5944",
"fax_number": "281-991-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 CRENSHAW RD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043628",
"telephone_number": "281-991-5944",
"fax_number": "281-991-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "LAWRENCE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "D2481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE ID",
"identifier": "00308K",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123552503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID ID",
"identifier": "80342101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
- Travis Jones
- Jordan R. Fein DPM (Fein Foot and Ankle Center)
- Jordan R. Fein DPM, Ms (Fein Foot and Ankle Center)
- Elena Jose Nemazannikova, M.S. BCBA
- Joseph G. Valdez, M.D. P.a.
- Ernesto M Juarez Jr., D.O.
- Judith Anne Tully (Psych Managment Solutions)
- Julio C. Arauz, M.D., P.a.
- Jennifer Juneau, PT
- Lynn Kabbani, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.