NPIMap

Individual provider Active NPI

Lawrence Theodore Murray II

  • Physician Assistant
  • Dubuque, IA
National Provider Identifier
1881357606
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2000 University Ave
Dubuque, IA 52001-5099
Phone
(563) 589-3000
NPI assigned
Oct 19, 2021
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2000 University Ave
Dubuque, IA 52001-5099

Mailing address

2975 Stargaze Dr
Dardenne Prairie, MO 63368-8069
Phone (636) 485-0168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607000773 IL Practitioner - Physician Assistant 3870950884 Reassigns benefits to 5 organizations
I20251226000108 MO Practitioner - Physician Assistant 3870950884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington University Community Specialists LLCGroup PAC ID 8628588514, 94 clinicians
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 362-9123

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 454-7704

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jan 1, 2026 Accepting new patients
Carle Health Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 1, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Washington University Community Specialists, LLC CurrentSince Jan 1, 2025 Accepting new patients
Washington University CurrentSince Jan 1, 2026 Accepting new patients

Locations

3591 Griffin Ave
Pekin, IL 61554
Phone (309) 353-1822

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1225 Graham Rd
#U
Florissant, MO 63031

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

11133 Dunn Rd
#U
Saint Louis, MO 63136

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

Organizations & group practices 10

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 4

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1881357606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 STARGAZE DR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688069",
            "telephone_number": "636-485-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 UNIVERSITY AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015099",
            "telephone_number": "563-589-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LAWRENCE",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.