Individual provider Active NPI

Sarah Lynn Laiosa, DO

  • Family Medicine Physician
  • Burns, OR
National Provider Identifier
1124261862
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO153087 Issued in OR
Practice address
77 W Washington St
Burns, OR 97720-1544
Phone
(541) 573-3000
Fax
(541) 797-6158
NPI assigned
Apr 10, 2009
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 DO153087 OR Primary

Addresses

Primary practice location

77 W Washington St
Burns, OR 97720-1544

Mailing address

77 W Washington St
Burns, OR 97720-1544
Phone (541) 573-3000

Other practice location 1

2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1106
Phone (541) 274-6733

Other practice location 2

559 W Washington St
Burns, OR 97720-1441
Phone (541) 573-2074

Other identifiers 1

IdentifierTypeStateIssuer
500651072MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sarah@thrivewellclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20121031000665 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8820248644 Reassigns benefits to 4 organizations
Practice locations: Burns, OR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians
County of HarneyGroup PAC ID 9032011903, 2 clinicians
Sarah Laiosa, PCGroup PAC ID 5496141004, 3 clinicians

Practice addresses (Care Compare)

2801 Daggett Ave
Klamath Falls, OR 97601-7150
Phone (541) 274-6221

2865 Daggett Ave
Klamath Falls, OR 97601-1106

420 N Fairview Ave
Burns, OR 97720-1416
Phone (541) 573-2271

77 W Washington St
Burns, OR 97720-1544
Phone (541) 573-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO153087ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Dec 22, 2018 Accepting new patients
Harney District Hospital Family Medicine CurrentSince Jul 20, 2012 Accepting new patients
Sarah Laiosa, PC CurrentSince May 21, 2019 Accepting new patients
Harney District Hospital Current Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Dec 22, 2018 Accepting new patients
County of Harney CurrentSince Dec 1, 2017 Accepting new patients
Sarah Laiosa, PC Family Medicine CurrentSince Dec 24, 2021 Accepting new patients
Harney District Hospital CurrentSince Jul 20, 2012 Accepting new patients

Locations

420 N Fairview Ave
Burns, OR 97720
Phone (541) 573-2271

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

77 W Washington St
Burns, OR 97720
Phone (541) 573-3000

2801 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-4510

2821 Daggett Ave
Ste 100
Klamath Falls, OR 97601
Phone (541) 274-4611

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-6221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20652/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sarah.laiosa.1@17166.direct.athenahealth.com
  • Direct secure messaging: sarah.laiosa.1@20652.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thrivewell ClinicBurns, OR, CCN 383921 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
May 21, 2019
May 21, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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

Hospital & facility affiliations 6

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1124261862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201544",
            "telephone_number": "541-573-3000",
            "fax_number": "541-797-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201544",
            "telephone_number": "541-573-3000",
            "fax_number": "541-797-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Daggett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011106",
            "country_code": "US",
            "telephone_number": "541-274-6733",
            "fax_number": "541-274-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Burns",
            "state": "OR",
            "postal_code": "977201441",
            "country_code": "US",
            "telephone_number": "541-573-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIOSA",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO153087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500651072",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sarah@thrivewellclinic.com",
            "affiliation": "N",
            "endpointDescription": "SECURE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "77 W Washington St",
            "city": "Burns",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977201544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burns, OR

Sources for this page

Verify at the official NPI Registry.