Individual provider Active NPI

Lawrence I Katin, MD

  • Otolaryngology Physician
  • Paoli, PA
National Provider Identifier
1841230422
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD040108E Issued in PA
Practice address
11 Industrial Blvd
Ste 102
Paoli, PA 19301-1620
Phone
(610) 647-6070
Fax
(610) 647-6851
NPI assigned
Jun 8, 2006
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD040108E PA Primary

Addresses

Primary practice location

11 Industrial Blvd
Ste 102
Paoli, PA 19301-1620

Mailing address

11 Industrial Blvd
Ste 102
Paoli, PA 19301-1620
Phone (610) 647-6070

Other practice location 1

255 W Lancaster Ave
Ste 224
Paoli, PA 19301
Phone (610) 647-6070

Other identifiers 1

IdentifierTypeStateIssuer
001253251MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.katin@lkm.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080522000132 PA Practitioner - Otolaryngology 6406925072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Pennsylvania, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence I Katin MD PCGroup PAC ID 7719026582, 4 clinicians

Practice addresses (Care Compare)

11 Industrial Blvd
Suite 102
Paoli, PA 19301-1620
Phone (610) 647-6070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040108EPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence I Katin MD PC Otolaryngology CurrentSince Nov 2, 2009 Accepting new patients
Lawrence I Katin MD Otolaryngology Past Accepting new patients

Locations

11 Industrial Blvd
Ste 102
Paoli, PA 19301
Phone (610) 647-3077

255 W Lancaster Ave
Ste 224
Paoli, PA 19301
Phone (610) 296-5801

Interoperability endpoints

  • Direct secure messaging: lawrence.katin@lkm.eclinicaldirectplus.com

Organizations & group practices 2

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 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1841230422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL BLVD",
            "address_2": "STE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011620",
            "telephone_number": "610-647-6070",
            "fax_number": "610-647-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL BLVD",
            "address_2": "STE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011620",
            "telephone_number": "610-647-6070",
            "fax_number": "610-647-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lancaster Ave",
            "address_2": "Ste 224",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "19301",
            "country_code": "US",
            "telephone_number": "610-647-6070",
            "fax_number": "610-647-6851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATIN",
        "first_name": "LAWRENCE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD040108E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001253251",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.katin@lkm.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11 INDUSTRIAL BLVD",
            "address_2": "STE 102",
            "city": "PAOLI",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.