NPIMap

Organization Active NPI

Family Medical Care of Lawrence County, Inc

  • Adult Health Nurse Practitioner
  • New Wilmington, PA
National Provider Identifier
1780011460
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP013176 Issued in PA
Legal business name
FAMILY MEDICAL CARE OF LAWRENCE COUNTY, INC
Practice address
150 N New Castle St
New Wilmington, PA 16142-1019
Phone
(724) 946-3564
Fax
(724) 946-2156
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. James Larimer Gardner III, M.D.
Title
President/Owner
Phone
(724) 946-3564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X SP013176 PA Primary

Addresses

Primary practice location

150 N New Castle St
New Wilmington, PA 16142-1019

Mailing address

150 N New Castle St
New Wilmington, PA 16142-1019
Phone (724) 946-3564

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1780011460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N NEW CASTLE ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421019",
            "telephone_number": "724-946-3564",
            "fax_number": "724-946-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N NEW CASTLE ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421019",
            "telephone_number": "724-946-3564",
            "fax_number": "724-946-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF LAWRENCE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LARIMER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-946-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Wilmington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.