LAWRENCE G. WAYBURN M.D. – NPI #1891790192
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LAWRENCE WAYBURN is a radiologist located in SANTA FE, NM. NPPES has assigned the NPI number 1891790192 to LAWRENCE WAYBURN on June 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 10 years ago on Jun 10, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAWRENCE WAYBURN below.

NPI Profile for
LAWRENCE G. WAYBURN

NPI Number
1891790192
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LAWRENCE G. WAYBURN
Credentials
M.D.
Primary location
2 BIG BEAR PL
SANTA FE, NM 87508
Phone: (989) 928-2397 Fax: (505) 471-4388
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for LAWRENCE WAYBURN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI1891790192
MEDICAIDMI4542150
MEDICAIDNM51282551
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NM MD2007-0243

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.