KENNETH G. LAWLOR, DO, PLLC
NPI 1255955191
Internal Medicine - Rheumatology in Phoenix, AZ

Q: What is Kenneth G. Lawlor, Do, PLLC's NPI number?

The NPI number for Kenneth G. Lawlor, Do, PLLC is 1255955191. It was assigned to this organization in the NPPES registry on June 6, 2020. The provider is doing business as Canyon State Rheumatology.

Q: What is Kenneth G. Lawlor, Do, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since June 06, 2020

2060 W WHISPERING WIND DR STE 264, PHOENIX, AZ 85085(623) 235-6889(623) 235-6877 Get Directions Write a Review

NPPES record last updated: June 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kenneth G. Lawlor, Do, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH G. LAWLOR, DO, PLLC (NPI 1255955191), doing business as Canyon State Rheumatology, is a healthcare organization registered as a rheumatology in Phoenix, Arizona and active in the NPI registry since June 2020. The organization lists Kenneth Gayle Lawlor, Owner, as its authorized official.

NPPES Registry Identity

NPI1255955191

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameKENNETH G. LAWLOR, DO, PLLC

Location Address2060 W WHISPERING WIND DR STE 264Phoenix, AZ 85085-2869

Mailing Address3108 Clearwater Dr Ste APrescott, AZ 86305-7170 · (928) 717-8838

Phone(623) 235-6889

Fax(623) 235-6877

Organization SubpartNo

Authorized OfficialKenneth Gayle LawlorOwner · (928) 717-8838

Enumeration DateJune 6, 2020

NPPES CertifiedJune 6, 2020

✔ NPI 1255955191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Definition

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.

2060 W WHISPERING WIND DR STE 264, Phoenix, AZ 85085

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Other Names 1

Doing Business AsCanyon State Rheumatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth G. Lawlor, Do, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kenneth G. Lawlor, Do, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Joanna Taylor, FNP

Nurse Practitioner

NPI 1972015998

13943 N 91ST AVE STE I
Peoria, AZ 85381

(623) 815-2690

✔ PECOS✔ Accepts Medicare11 mi

Kenneth Lawlor, DO

Rheumatology

NPI 1902917289

3111 CLEARWATER DR STE A
Prescott, AZ 86305

(480) 443-8400

✔ PECOS✔ Accepts Medicare64 mi

Tammy Tunis, FNP

Nurse Practitioner

NPI 1447809926

2286 CROSSWIND DR STE C
Prescott, AZ 86301

(928) 216-3160

✔ PECOS67 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth G. Lawlor, Do, PLLC's NPI number?

The NPI number for Kenneth G. Lawlor, Do, PLLC is 1255955191. It was assigned to this organization in the NPPES registry on June 6, 2020. The provider is doing business as Canyon State Rheumatology.

Where is Kenneth G. Lawlor, Do, PLLC located?

Kenneth G. Lawlor, Do, PLLC is located at 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085. The listed phone number is (623) 235-6889.

What is Kenneth G. Lawlor, Do, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kenneth G. Lawlor, Do, PLLC enrolled in Medicare?

Yes. Kenneth G. Lawlor, Do, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth G. Lawlor, Do, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kenneth G. Lawlor, Do, PLLC, in Nurse Practitioner and Rheumatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth G. Lawlor, Do, PLLC was last updated on June 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.