Individual provider Active NPI

Lara Ann Weyl, DO

  • Obstetrics & Gynecology Physician
  • Hood River, OR
National Provider Identifier
1629333414
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO175935 Issued in OR
Practice address
1125 May St
Ste 202
Hood River, OR 97031
Phone
(541) 387-8940
Fax
(541) 387-8908
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036138218 IL
Obstetrics & Gynecology Physician 207V00000X DO175935 OR Primary

Addresses

Primary practice location

1125 May St
Ste 202
Hood River, OR 97031

Mailing address

PO Box 3390
Portland, OR 97208-3390

Other identifiers 1

IdentifierTypeStateIssuer
500711206MedicaidOR

Other names 1

  • Dr. Lara Garrity Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lweyl629394@oc.providencedirect.org

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
I20160823002499 OR Practitioner - Obstetrics/Gynecology 6204121726 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4805 NE Glisan St
Portland, OR 97213-2933

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138218ILMDObstetrics & Gynecology Physician
DO175935ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Obstetrics & Gynecology Current Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2023 Accepting new patients
Silverton Health Obstetrics & Gynecology CurrentSince Mar 8, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 26, 2022 Accepting new patients
Silverton Health CurrentSince Mar 8, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 24, 2023 Accepting new patients

Locations

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

24850 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-9444

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1125 May St
Ste 202
Hood River, OR 97031
Phone (541) 387-8908

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Interoperability endpoints

  • Direct secure messaging: lweyl629394@oc.providencedirect.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1629333414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MAY ST",
            "address_2": "STE 202",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "97031",
            "telephone_number": "541-387-8940",
            "fax_number": "541-387-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYL",
        "first_name": "LARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036138218",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO175935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500711206",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lweyl629394@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1125 MAY ST",
            "address_2": "STE 202",
            "city": "HOOD RIVER",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "GARRITY",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.