Individual provider Active NPI

Laura L Sorg, M.D.

  • Family Medicine Physician
  • Marysville, OH
National Provider Identifier
1033318373
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.094652 Issued in OH
Practice address
140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000
Phone
(937) 644-1441
Fax
(937) 642-7760
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.094652 OH Primary

Addresses

Primary practice location

140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000

Mailing address

140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000
Phone (937) 644-1441

Other identifiers 1

IdentifierTypeStateIssuer
3068488MedicaidOH

Other names 1

  • Laura Leigh Sorg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000698 OH Practitioner - Family Practice 2264558287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Colemans Xing
Suite 210
Marysville, OH 43040-7080
Phone (937) 644-1441

625 Africa Rd
Westerville, OH 43082-0002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.094652OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Mary Rutan Hospital Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1044 Columbus Ave
Marysville, OH 43040
Phone (937) 644-1441

140 Colemans Crossing Blvd
Ste 210
Marysville, OH 43040
Phone (937) 644-1441

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: lsorg18778@copcp.medicity.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1033318373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLEMANS CROSSING BOULEVARD",
            "address_2": "SUITE 210",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400000",
            "telephone_number": "937-644-1441",
            "fax_number": "937-642-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COLEMANS CROSSING BOULEVARD",
            "address_2": "SUITE 210",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400000",
            "telephone_number": "937-644-1441",
            "fax_number": "937-642-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORG",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.094652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SORG",
            "middle_name": "LEIGH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.