Active NPI
Christin Lawrence, D.O.
- Student in an Organized Health Care Education/Training Program
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 5101021068
- Practice address
- C&W Mott, 1540 E Medical Center Dr
8-621
Ann Arbor, MI 48109-0100 - Phone
- (734) 232-0334
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101021068 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101021068 | MI | Primary |
Addresses
Primary practice location
C&W Mott, 1540 E Medical Center Dr
8-621
Ann Arbor, MI 48109-0100
Mailing address
C&W Mott Hospital, 1540 E Medical Center Dr
8-621
Ann Arbor, MI 48109-0100
Phone (734) 232-0334
Other practice location 1
22201 Moross Rd
PB2 Suite 70
Detroit, MI 48236-2169
Phone (313) 343-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021068 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
3601 W 13 Mile Rd
Ofc
Royal Oak, MI 48073
Phone (248) 551-3000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912317389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C&W MOTT HOSPITAL, 1540 E MEDICAL CENTER DR",
"address_2": "8-621",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481090100",
"telephone_number": "734-232-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C&W MOTT, 1540 E MEDICAL CENTER DR",
"address_2": "8-621",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481090100",
"telephone_number": "734-232-0334"
}
],
"practiceLocations": [
{
"address_1": "22201 Moross Rd",
"address_2": "PB2 Suite 70",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362169",
"country_code": "US",
"telephone_number": "313-343-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "CHRISTIN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101021068",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101021068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.