Edward Palmer Laurance, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A41596 Issued in CA

Practice address

460 W Sierra Madre Blvd
Sierra Madre, CA 91024-2314

Phone

(626) 836-6900

Fax

(626) 836-6903

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Edward P. Laurance, MD Inc

  • Pediatric Gastroenterology Physician
  • Sierra Madre, CA
  • NPI 1225422033
  Medicare reassignment NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1790780799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242314",
            "telephone_number": "626-836-6900",
            "fax_number": "626-836-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242314",
            "telephone_number": "626-836-6900",
            "fax_number": "626-836-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURANCE",
        "first_name": "EDWARD",
        "middle_name": "PALMER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A41596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Jin Ah Kim, LMFT
• Aleta J. Klein, MA MFT
• Susan Arthur Kluge, MFT
• Alexa Ladd, LEP
• Jenny Y Lai, R.D.
• Jennifer Leal
• Jennifer Sara Lee-Dick, PSY.D
• Sun Kyung Lee, DO
• Theodore Levatter, M.A., CCC
• Jocelyn Levitan, PH.D.

• Gastroenterology Physician in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.

Verify at the official NPI Registry.