Active NPI
Lawrence R Curry
Doing business as McKinley Medical Clinic
- Family Medicine Physician
- Mishawaka, IN
National Provider Identifier
1811082670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02000570A
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 735210 | Other | IN | MEDICARE PTAN |
| 100092660 | Medicaid | IN | |
| 000000101533 | Other | IN | ANTHEM BCBS |
Other names 1
- Mckinley Medical Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MckinleyMedicalClinic.LawrenceCurry@121356.advancedmd-direct.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.