Active NPI
Lawrence D Adrian, P.A.-C
- Surgical Physician Assistant
- Portland, ME
National Provider Identifier
1891707493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA-143
- Practice address
- 818 Congress St
Portland, ME 04102 - Phone
- (207) 773-8161
- Fax
- (207) 773-1489
- NPI assigned
- Aug 12, 2006
- Last updated
- Jan 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-143 | ME | Primary |
Addresses
Primary practice location
818 Congress St
Portland, ME 04102
Mailing address
301C US Route One
Scarborough, ME 04074
Phone (207) 396-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296130099 | Medicaid | ME |
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
Interoperability endpoints
- larry.adrian.p1@direct.portlandchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1891707493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301C US ROUTE ONE",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "04074",
"telephone_number": "207-396-8600",
"fax_number": "207-396-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-773-8161",
"fax_number": "207-773-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "LAWRENCE",
"middle_name": "D",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ME",
"license": "PA-143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296130099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
- Virginia JS Adams, CRNA
- Ricardo Anton Addante
- Katharine E Addicott, FNP
- Gregory S Adey, M.D.
- Matthew Francis Adolph, MD
- Adrienne McAuley Physical Therapy LLC
- Ads Denture Technologies LLC (Jetport Denture Center)
- Advance Health and Wellness LLC (Advance Wellness LLC)
- Advanced Foot Care and Laser Center,PA
- Advanced Vein Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.