Lydia E O'Connor-Sanders, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

913 Issued in NV

Practice address

4760 S Pecos Rd
Ste. 211
Las Vegas, NV 89121-5828

Phone

(702) 735-0355

Fax

(702) 735-0067

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Comprehensive Health & Wellness, Inc

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1740460021
  NPD (past) Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1194774042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD",
            "address_2": "STE. 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-735-0355",
            "fax_number": "702-735-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD",
            "address_2": "STE. 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-735-0355",
            "fax_number": "702-735-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR-SANDERS",
        "first_name": "LYDIA",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018172",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosamond O'Bryan
• Ivy O'Bryant
• Colleen O'Callaghan-Miele
• Brian J O'Connell, M.D.
• Devin Alexandria O'Connor-Jackson
• Deborah O'Connor
• Jaclyn T O'Connor, FNP-BC
• Jamie O'Connor
• Marc K O'Connor, M.D.
• Miwa Shiobara O'Connor, DO/MPH

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.