KENNETH G. LAWLOR, DO, PLLC (NPI# 1255955191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255955191 |
| Entity Type | Organization |
| Organization Name | KENNETH G. LAWLOR, DO, PLLC |
| Practice Address |
2060 W Whispering Wind Dr Ste 264 Phoenix AZ 85085-2869 |
| Mailing Address |
3108 Clearwater Dr Ste A Prescott AZ 86305-7170 |
| Practice Telephone | 6232356889 |
| Practice Fax Number | 6232356877 |
| Mailing Telephone | 9287178838 |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2020-06-06 |
| Authorized Official Name | KENNETH GAYLE LAWLOR (OWNER) |
| Authorized Official Telephone | 9287178838 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Canyon State Rheumatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801100250 | Kenneth G. Lawlor, Do, Pllc | Internal Medicine | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2010-07-27 |
| Street Address |
2060 W WHISPERING WIND DR STE 264 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629428420 | Lyndz Gruelle | Counselor | 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085-2869 | 2016-06-13 |
| 1366951592 | Mario Gutierrez | Social Worker | 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085-2869 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| Find all providers in zip 85085 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134337918 | Thomas Frederick Disney | Internal Medicine | 4123 E Paradise Dr, Phoenix, AZ 85028-1511 | 2007-05-18 |
| 1780781732 | Theresa R Nieman | Internal Medicine | 650 E Indian School Rd # 111-d, Phoenix, AZ 85012-1839 | 2006-09-20 |
| 1295095495 | Nikila V. Kumar | Internal Medicine | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032-9385 | 2012-05-22 |
| 1265712475 | Phyllis Sydney Reuss | Internal Medicine | 1300 N 12th St, Suite 618, Phoenix, AZ 85006-2877 | 2011-08-18 |
| 1538484993 | District Medical Group, Inc | Internal Medicine | 2601 E Roosevelt St, Rheumatology, Phoenix, AZ 85008-4973 | 2010-03-29 |
| 1689996886 | Arthritis Care Specialists PC | Internal Medicine | 1300 N 12th St, #618, Phoenix, AZ 85006-2848 | 2010-02-16 |
| 1982834321 | Joonhee Lim | Internal Medicine | 4550 E Bell Rd Ste 170, Phoenix, AZ 85032 | 2009-07-20 |
| 1275789877 | Daniel Edward Kreutz | Internal Medicine | 4550 E Bell Rd, Suite 170, Phoenix, AZ 85032-9306 | 2008-08-14 |
| 1053588020 | Joseph M Kennedy | Internal Medicine | 650 East Indian School Road, Phoenix, AZ 85012 | 2008-05-09 |
| 1578743464 | South West Rheumatology PC | Internal Medicine | 9305 W Thomas Rd, #455, Phoenix, AZ 85037-3328 | 2007-11-07 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.