Individual provider Active NPI

Jeffrey Lawrence

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1790009736
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27978 Issued in OK
Practice address
2017 W I 35 Frontage Rd
Ste 170
Edmond, OK 73013-8504
Phone
(405) 757-3365
Fax
(405) 757-3499
NPI assigned
Mar 19, 2010
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27978 OK Primary

Addresses

Primary practice location

2017 W I 35 Frontage Rd
Ste 170
Edmond, OK 73013-8504

Mailing address

2017 W I 35 Frontage Rd
Ste 170
Edmond, OK 73013-8504
Phone (405) 757-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000198 OK Practitioner - Family Practice 5395986442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Restore Wound Care PLLCGroup PAC ID 2769998749, 2 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

100 NE 5TH St
Oklahoma City, OK 73104-2228
Phone (405) 203-0691

2017 W I 35 Frontage Rd
Mercy Clinic
Edmond, OK 73013-8504
Phone (405) 757-3365

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jul 15, 2013 Accepting new patients
Restore Wound Care PLLC Family Medicine CurrentSince May 10, 2025 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

2017 W I 35 Frontage Rd
Ste 170
Edmond, OK 73013
Phone (405) 757-3365

2301 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 531-4600

100 NE 5th St
Oklahoma City, OK 73104
Phone (405) 201-1351

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

Interoperability endpoints

  • Direct secure messaging: jlawrence361116@directc.mercy.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1790009736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD",
            "address_2": "STE 170",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138504",
            "telephone_number": "405-757-3365",
            "fax_number": "405-757-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD",
            "address_2": "STE 170",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138504",
            "telephone_number": "405-757-3365",
            "fax_number": "405-757-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.