Active NPI
John P. Lawrence, PA-C, MMSC
- Physician Assistant
- Denver, CO
National Provider Identifier
1962738401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAL-2903
- Practice address
- 6310 E Exposition Ave
Denver, CO 80224 - Phone
- (720) 756-7162
- NPI assigned
- Oct 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0002903 | CO | |
| Physician Assistant | 363A00000X | PAL-2903 | CO | Primary |
Addresses
Primary practice location
6310 E Exposition Ave
Denver, CO 80224
Mailing address
PO Box 2332
Gypsum, CO 81637-2332
Phone (719) 849-0784
Other practice location 1
3601 S Broadway
Englewood, CO 80113
Phone (303) 658-0059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002903 | Other | CO | COLORADO PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAL-2903 | CO | MD | Physician Assistant |
| 0002903 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Medical Group Inc | Current | Accepting new patients | |
| Mile High Treatment and Recovery Inc | Current | Accepting new patients |
Locations
6310 E Exposition Ave
Denver, CO 80224
Phone (303) 320-1630
3601 S Broadway
Englewood, CO 80113
Phone (303) 658-0059
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Montrose, CO
- NPI 1902804032
-
- Federal Public Health Clinic/Center
- Arapahoe, WY
- NPI 1285006379
TX
-
- Methadone Clinic
- Denver, CO
- NPI 1154031011
-
- Methadone Clinic
- Englewood, CO
- NPI 1194437814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1962738401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2332",
"city": "GYPSUM",
"state": "CO",
"postal_code": "816372332",
"telephone_number": "719-849-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 E EXPOSITION AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80224",
"telephone_number": "720-756-7162"
}
],
"practiceLocations": [
{
"address_1": "3601 S Broadway",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "80113",
"country_code": "US",
"telephone_number": "303-658-0059",
"fax_number": "303-800-9755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "JOHN",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "PA-C, MMSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-18",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "0002903",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PAL-2903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO PA LICENSE",
"identifier": "0002903",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.