Active NPI
Jonathan Mark Lauritsen, D.O.
- Neurology Physician
- Plano, TX
National Provider Identifier
1346773017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- S4517
- Practice address
- 4708 Alliance Blvd Ste 550
Plano, TX 75093-5363 - Phone
- (469) 800-6780
- Fax
- (469) 800-6825
- NPI assigned
- Apr 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | S4517 | TX | Primary |
Addresses
Primary practice location
4708 Alliance Blvd Ste 550
Plano, TX 75093-5363
Mailing address
4708 Alliance Blvd Ste 550
Plano, TX 75093-5363
Phone (469) 800-6780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346773017 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlauritsen854037@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4708 Alliance Blvd
Suite 550
Plano, TX 75093-5363
Phone (469) 800-6140
Hospital & facility affiliations
- Paradigm Homecare
- Baylor Scott & White Medical Center Plano
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott and White Medical Center McKinney
- Baylor Scott & White Institute for Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Neurology | Current | Accepting new patients |
| Healthtexas Provider Network | Neurology | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4708 Alliance Blvd
Ste 550
Plano, TX 75093
Phone (469) 800-6140
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- jlauritsen854037@direct.sw.org
- jlauritsen72396@direct.phhs.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- Home Health Agency
- Plano, TX
- NPI 1235432899
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1346773017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD STE 550",
"city": "PLANO",
"state": "TX",
"postal_code": "750935363",
"telephone_number": "469-800-6780",
"fax_number": "469-800-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD STE 550",
"city": "PLANO",
"state": "TX",
"postal_code": "750935363",
"telephone_number": "469-800-6780",
"fax_number": "469-800-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURITSEN",
"first_name": "JONATHAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-09",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "S4517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346773017",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlauritsen854037@direct.sw.org",
"affiliation": "N",
"address_1": "4708 Alliance Blvd Ste 550",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750935363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.