Individual provider Active NPI

Gregg L Laws, MD

  • Internal Medicine Physician
  • Carlinville, IL
National Provider Identifier
1861598534
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036063415 Issued in IL
Practice address
1115 Morgan St
Carlinville, IL 62626-1430
Phone
(217) 854-4552
Fax
(217) 854-5204
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036063415 IL Primary

Addresses

Primary practice location

1115 Morgan St
Carlinville, IL 62626-1430

Mailing address

1115 Morgan St
Carlinville, IL 62626-1430
Phone (217) 854-4552

Other identifiers 1

IdentifierTypeStateIssuer
036063415MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036063415ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg L Laws MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Bunker Hill Medical Clinic Internal Medicine PastSince Feb 2, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1861598534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MORGAN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261430",
            "telephone_number": "217-854-4552",
            "fax_number": "217-854-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MORGAN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261430",
            "telephone_number": "217-854-4552",
            "fax_number": "217-854-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWS",
        "first_name": "GREGG",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036063415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.