Individual provider Active NPI

Peter Douglas Lawrason, M.D.

  • Obstetrics & Gynecology Physician
  • Fairbanks, AK
National Provider Identifier
1891715249
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
AA2385 Issued in AK
Practice address
1919 Lathrop St
Suite 101
Fairbanks, AK 99701-5937
Phone
(907) 452-1622
Fax
(907) 452-1664
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X AA2385 AK Primary

Addresses

Primary practice location

1919 Lathrop St
Suite 101
Fairbanks, AK 99701-5937

Mailing address

1919 Lathrop St
Suite 101
Fairbanks, AK 99701-5937
Phone (907) 452-1622

Other identifiers 1

IdentifierTypeStateIssuer
1007334MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20070523000618 AK Practitioner - Obstetrics/Gynecology 6204894736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Duke University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 Lathrop St
Suite 101
Fairbanks, AK 99701-5937
Phone (907) 452-1622

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AA2385AKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Peter Lawrason PC Obstetrics & Gynecology CurrentSince Nov 16, 2006 Accepting new patients
Fairbanks Clinic Inc Obstetrics & Gynecology PastSince Dec 13, 2020 Accepting new patients
Fairbanks Memorial Hospital, LLC Past Accepting new patients

Locations

1919 Lathrop St
Ste 219
Fairbanks, AK 99701
Phone (907) 452-1622

1919 Lathrop St
Ste 101
Fairbanks, AK 99701
Phone (907) 452-1622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDCAA/Endpoint/BGDCAA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1891715249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-1622",
            "fax_number": "907-452-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-1622",
            "fax_number": "907-452-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRASON",
        "first_name": "PETER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "AA2385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007334",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.