NPIMap

Organization Active NPI

Lawrence Physicians LLC

Doing business as Plastic Surgery Specialists of Lawrence

  • Plastic and Reconstructive Surgery Physician
  • Lawrence, KS
National Provider Identifier
1891247326
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
LAWRENCE PHYSICIANS LLC
Doing business as
Plastic Surgery Specialists of Lawrence
Practice address
1130 W 4TH St Ste 3202
Lawrence, KS 66044-1328
Phone
(785) 505-5875
Fax
(785) 505-3322
NPI assigned
Nov 1, 2016
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Mrs. Amy Miller, CPC
Title
Credentialing Specialists
Phone
(785) 505-2988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

1130 W 4TH St Ste 3202
Lawrence, KS 66044-1328

Mailing address

1130 W 4TH St
Suite 3202
Lawrence, KS 66044-1328
Phone (785) 505-5875

Other practice location 1

6265 Rock Chalk Dr
Suite 2500
Lawrence, KS 66049
Phone (785) 505-5875

Other practice location 2

1301 S Main St
Ottawa, KS 66067-3537
Phone (785) 505-5875

Other practice location 3

410 Woodfield Dr
Tonganoxie, KS 66086-5443
Phone (785) 505-5875

Other practice location 4

600 E 20th St Ste 200
Eudora, KS 66025-7801
Phone (785) 505-5875

Other names 1

  • Plastic Surgery Specialists of Lawrence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203002058 KS Part B Supplier - Clinic/Group Practice 1951623834 Receives reassigned benefits from 307 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, KS; Topeka, KS; Tonganoxie, KS; Ottawa, KS; MC Louth, KS; Lawrence, KS; Eudora, KS; Baldwin City, KS

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory
Tax ID family
Lawrence Physicians LLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

6265 Rock Chalk Dr
Unit 2500
Lawrence, KS 66049
Phone (785) 505-5045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1891247326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST",
            "address_2": "SUITE 3202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441328",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST STE 3202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441328",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6265 Rock Chalk Dr",
            "address_2": "Suite 2500",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "66049",
            "country_code": "US",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-5289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673537",
            "country_code": "US",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-5289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Woodfield Dr",
            "address_purpose": "LOCATION",
            "city": "Tonganoxie",
            "state": "KS",
            "postal_code": "660865443",
            "country_code": "US",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-5289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E 20th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eudora",
            "state": "KS",
            "postal_code": "660257801",
            "country_code": "US",
            "telephone_number": "785-505-5875",
            "fax_number": "785-505-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAWRENCE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "785-505-2988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Specialists of Lawrence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plastic Surgery Specialists of Lawrence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.