Individual provider Active NPI

Lawrence Raeburn Hamner III, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1891722633
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
F9530 Issued in TX
Practice address
225 Geneseo Rd
San Antonio, TX 78209-5913
Phone
(210) 867-9678
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X F9530 TX Primary

Addresses

Primary practice location

225 Geneseo Rd
San Antonio, TX 78209-5913

Mailing address

225 Geneseo Rd
San Antonio, TX 78209-5913
Phone (210) 615-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050627000730 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 2769451913 Reassigns benefits to 2 organizations
I20220420001300 NV Practitioner - Thoracic Surgery 2769451913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Geneseo Rd
San Antonio, TX 78209-5913
Phone (210) 867-9678

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9530TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Mark Morales, M.D., PA CurrentSince Jun 1, 2021 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

1224 3rd St
Ste 1
Corpus Christi, TX 78404
Phone (361) 854-0201

Interoperability endpoints

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

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 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1891722633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GENESEO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095913",
            "telephone_number": "210-615-7700",
            "fax_number": "210-615-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GENESEO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095913",
            "telephone_number": "210-867-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "LAWRENCE",
        "middle_name": "RAEBURN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "F9530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.