Organization Active NPI

Lawrence R Curry

Doing business as McKinley Medical Clinic

  • Family Medicine Physician
  • Mishawaka, IN
National Provider Identifier
1811082670
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02000570A Issued in IN
Legal business name
LAWRENCE R CURRY
Practice address
524 E McKinley Ave
Mishawaka, IN 46545-6285
Phone
(574) 256-2556
Fax
(574) 258-4278
NPI assigned
Oct 4, 2006
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dr. Rosemarie Scott
Title
Administrator
Phone
(260) 350-2180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 02000570A IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

524 E McKinley Ave
Mishawaka, IN 46545-6285

Mailing address

524 E McKinley Ave
Mishawaka, IN 46545-6285
Phone (574) 256-2556

Other identifiers 3

IdentifierTypeStateIssuer
735210OtherINMEDICARE PTAN
100092660MedicaidIN
000000101533OtherINANTHEM BCBS

Other names 1

  • Mckinley Medical Clinic Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: mckinleymedicalclinic.lawrencecurry@121356.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1811082670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-256-2556",
            "fax_number": "574-258-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-256-2556",
            "fax_number": "574-258-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R CURRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-350-2180",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000570A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "735210",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092660",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000101533",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Reports, TOC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "524 E McKinley Ave",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465456285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McKinley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mckinley Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.