LAWRENCE NELSON (NPI# 1427035534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427035534 |
| Entity Type | Individual |
| Full Name | LAWRENCE NELSON |
| Credential | DO |
| Practice Address |
8103 Burden Rd Machesney Park IL 61115-8208 |
| Practice Telephone | 8157132600 |
| Practice Fax Number | 8156548020 |
| Mailing Telephone | 8157132600 |
| Mailing Fax Number | 8156548020 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 36089481 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036-089481 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC | 4673170001 | 01 |
| IL | RAILROAD MEDICARE | P00470671 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932514080 | Lawrence Nelson | Family Medicine | 13806 436th Ave, Webster, SD 57274-5616 | 2014-06-27 |
| 1467555896 | Lawrence James Nelson I | Family Medicine | 777 Clairton Blvd, Pittsburgh, PA 15236-4516 | 2006-09-07 |
| 1538123245 | Lawrence Harold Nelson II | Social Worker | 2315 Broadway St, Boulder, CO 80304-4122 | 2006-04-12 |
| 1699815647 | Lawrence Karl Nelson | Chiropractor | 7100 Sw Hampton St, Ste 121a, Tigard, OR 97223-8390 | 2007-02-07 |
| 1316085996 | Lawrence Grant Nelson | Family Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2007-02-03 |
| 1598836025 | Lawrence Craig Nelson | Dentist | 604 Locust St, Suite 702, Des Moines, IA 50309-3705 | 2006-11-13 |
| Street Address |
8103 BURDEN RD |
| City | MACHESNEY PARK |
| State | IL |
| Zip Code | 61115-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675087 | Mary B O'meara | Nurse Practitioner | 9721 N Alpine, Machesney Park, IL 61115 | 2019-02-14 |
| 1518486398 | Jordyn Morris | Speech-Language Pathologist | 710 Ralston Rd, Machesney Park, IL 61115 | 2017-09-13 |
| 1053713966 | Dental Professionals of Illinois, P.C. | Dentist | 1411 W Lane Rd Ste B, Machesney Park, IL 61115 | 2014-09-23 |
| 1922326271 | Mitalkumar K Patel | Dentist | 1363 W. Lane Road, Machesney Park, IL 61115 | 2010-05-12 |
| 1720134802 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1349 W Lane Rd, Machesney Park, IL 61115 | 2007-01-25 |
| 1710371471 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1770 W Lane Rd, Machesney, IL 61115 | 2015-03-20 |
| 1225436546 | Susan Lynn Sherbon | Community/Behavioral Health | 251 Brentwood Rd, Machesney Park, IL 61115-1064 | 2014-12-18 |
| 1174872519 | Dana Lynn Slabaugh | Physical Therapist | 10510 Ventura Blvd, Machesney Park, IL 61115-1263 | 2012-08-30 |
| 1073590204 | Terry Buzzard | Family Medicine | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2005-12-29 |
| 1609475672 | Meaghan Elizabeth Reed | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2020-10-21 |
| Find all providers in zip 61115 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1467713248 | Jacob Baruch Avraham | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2012-06-07 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1548579576 | West Suburban Surgical, S.c. | Surgery | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2010-09-24 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
| Find all providers with the same taxonomy | ||||
| City | MACHESNEY PARK |
| Zip Code | 61115 |
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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.