Lauren Johnson O'Sullivan, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

DO26683 Issued in OR

Practice address

1102 NE 4TH St
Bend, OR 97701-4533

Phone

(541) 389-0450

NPI assigned

Jun 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Specialty

Obstetrics/Gynecology

Education

Philadelphia College of Osteopathic Medicine, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Lauren Johnson Osullivan

  dba Lauren O'Sullivan DO LLC

  • Gynecology Physician
  • Bend, OR
  • NPI 1669660213
  Medicare reassignment NPD Authorized official
• Kristi Jett, MD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Bend, OR
  • NPI 1417049685
  NPD (past)

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

• Cascade Healthcare Community Inc

  dba NW High Desert Sleep Center Bend

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• St. Charles Health System, Inc.

  dba St. Charles Bend

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316983679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014533",
            "telephone_number": "541-389-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014533",
            "telephone_number": "541-389-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "LAUREN",
        "middle_name": "JOHNSON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "DO26683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee O'Loughlin, QMHA
• Trevor O'Neal, RN
• Alexon O'Neill, LAC.
• Nicole A O'Neill, PHYSICIAN ASSISTANT
• Jennifer O'Sullivan, LCSW
• Lauren Kaimana Oakley, RDH
• Kamie Ober, MA, LPC
• Chandler Robert Obermire, DC
• Obsidian Physical Therapy, LLC
• Obsidian Psychiatry LLC

• Gynecology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.