Isagani D Laurencio, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D19954 Issued in MD

Practice address

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

Phone

(301) 689-3229

Fax

(301) 689-1129

NPI assigned

Dec 14, 2005

Last updated

Sep 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Hospital and Medical Center of Cumberland, Inc.

  dba Memorial Hosp Med Ctr Hosp

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1669437216
  NPD (past)
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Psychiatry Physician
  • Cumberland, MD
  • NPI 1285779884
  NPD (past)
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1730164492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 KEAN TER",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023322",
            "telephone_number": "301-759-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321457",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENCIO",
        "first_name": "ISAGANI",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D19954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE - HT. CLUB",
            "identifier": "E458  0015",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE DC",
            "identifier": "K029 0003",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050694000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "41665301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS - HT.CLUB",
            "identifier": "LU39HU  416653 02",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Vinton Kroll, D.C.
• Britta Lais
• Lindsey Nicole Landes, OTR/L
• Patricia Ann Lane, LCSW-C
• Karen Lau
• Jason A Layman, CRNP
• Alexis Nicole Layton, LMSW
• Michael Leptic, PHD, LPA
• Jade Heather Lewis
• Suanne Marie Lewis, ED.D.

• General Practice Physician in Frostburg, MD
• Providers in Frostburg, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.