Active NPI
Theresa Marie Lorkowski, M.D.
- Pediatrics Physician
- Jbsa Lackland, TX
National Provider Identifier
1750615597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0085361
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638 - Phone
- (210) 292-9393
- NPI assigned
- Sep 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101249401 | VA | |
| Pediatrics Physician | 208000000X | D0085361 | MD | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Mailing address
PSC 333 Box 8423
Apo, AP 96251-0085
Other practice location 1
900 Washington Rd
Family Practice
West Point, NY 10996-1109
Phone (845) 938-1194
Other practice location 2
BDAACH/549th HC
USAG Humphreys, Bldg 3030
Apo, AP 96271
Phone (010) 448-9838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151125001496 | NY | Order and Referring Only - Pediatric Medicine | 7315247228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0085361 | MD | MD | Pediatrics Physician |
| 0101249401 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1750615597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 333 BOX 8423",
"city": "APO",
"state": "AP",
"postal_code": "962510085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-9393"
}
],
"practiceLocations": [
{
"address_1": "900 Washington Rd",
"address_2": "Family Practice",
"address_purpose": "LOCATION",
"city": "West Point",
"state": "NY",
"postal_code": "109961109",
"country_code": "US",
"telephone_number": "845-938-1194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "BDAACH/549th HC",
"address_2": "USAG Humphreys, Bldg 3030",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96271",
"country_code": "US",
"telephone_number": "010-448-9838",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "LORKOWSKI",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-27",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101249401",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0085361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.