Individual provider Active NPI

Lawrence F Blob, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1720008576
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0021589 Issued in MD
Practice address
3131 Connecticut Ave NW
Qa Apt. # 2313
Washington, DC 20008-5000
Phone
(410) 262-1908
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0021589 MD Primary

Addresses

Primary practice location

3131 Connecticut Ave NW
Qa Apt. # 2313
Washington, DC 20008-5000

Mailing address

3131 Connecticut Ave NW
Qa Apt. # 2313
Washington, DC 20008-5000
Phone (410) 262-1908

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0021589MDMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1720008576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 CONNECTICUT AVE NW",
            "address_2": "QA APT. # 2313",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085000",
            "telephone_number": "410-262-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 CONNECTICUT AVE NW",
            "address_2": "QA APT. # 2313",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085000",
            "telephone_number": "410-262-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOB",
        "first_name": "LAWRENCE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0021589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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.