Individual provider Active NPI

Edward M Lawrence, M.D., PHD

  • Body Imaging Physician
  • Madison, WI
National Provider Identifier
1912393703
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
68070 Issued in WI
Practice address
717 Copeland St
Madison, WI 53711-1711
Phone
(608) 263-5660
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 68070 WI
Diagnostic Radiology Physician 2085R0202X 5848 WI
Body Imaging Physician 2085B0100X 68070 WI Primary

Addresses

Primary practice location

717 Copeland St
Madison, WI 53711-1711

Mailing address

717 Copeland St
Madison, WI 53711-1711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elawrence755291@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20200715003398 WI Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2860700879 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Jul 1, 2020 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2020 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Oct 21, 2020 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: elawrence755291@direct.uwhealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1912393703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 COPELAND ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 COPELAND ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111711",
            "telephone_number": "608-263-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "WI",
            "license": "68070",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "5848",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WI",
            "license": "68070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elawrence755291@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "Uw Hospitals and Clinics",
            "address_2": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.