NPIMap

Organization Active NPI

Mark S Lawler MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Novato, CA
National Provider Identifier
1750511440
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A69218 Issued in CA
Legal business name
MARK S LAWLER MD INC
Practice address
7100 Redwood Blvd
Suite 200
Novato, CA 94945-4110
Phone
(415) 492-1600
Fax
(415) 492-1688
NPI assigned
Jul 16, 2009
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Mr. Mark Shannon Lawler, M.D.NPI 1235238130
Title
Physician
Phone
(415) 492-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A69218 CA Primary

Addresses

Primary practice location

7100 Redwood Blvd
Suite 200
Novato, CA 94945-4110

Mailing address

7100 Redwood Blvd
Suite 200
Novato, CA 94945-4110
Phone (415) 492-1600

Other identifiers 1

IdentifierTypeStateIssuer
00A692180MedicaidCA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1750511440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 REDWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454110",
            "telephone_number": "415-492-1600",
            "fax_number": "415-492-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REDWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454110",
            "telephone_number": "415-492-1600",
            "fax_number": "415-492-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S LAWLER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "415-492-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A69218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A692180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.