Skip to content

Lawrence Civil

NPI 1710698030ActiveIndividual· Physician Assistant· Canajoharie, NY

Physician Assistant with St. Mary's Healthcare, practicing in Canajoharie, New York. Enrolled in Medicare as practitioner - physician assistant. Braeburn Inc. was the largest of 2 companies reporting payments in 2025, $500.95 in all, mostly food and beverage. Lists St Marys Healthcare as a hospital affiliation.

Overview

NPI1710698030
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedDec 7, 2022
Last updated in NPPESOct 1, 2026
Certified by providerOct 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$500.95 · 12 payments from 2 companies
  • 2024$244.12 · 7 payments from 5 companies

Top paying companies in 2025

CompanyAmountPayments
Braeburn Inc.$462.5210
Indivior Inc.$38.432

What the 2025 payments were for

  • Food and Beverage$500.95 · 12 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Canajoharie

All Physician Assistant providers in New York →