Laurel Okorofsky

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA187788 Issued in OR

Practice address

1716 Williams Hwy
Grants Pass, OR 97527-5661

Phone

(541) 474-6053

Fax

(541) 474-4527

NPI assigned

Sep 22, 2014

Last updated

Dec 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Renal Care Consultants PC

  • Specialist
  • Medford, OR
  • NPI 1740344597

  Multi-Specialty

  Medicare reassignment NPD
• Marquis Clinical Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Milwaukie, OR
  • NPI 1710427810
  Medicare reassignment

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1629470661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275661",
            "telephone_number": "541-474-6053",
            "fax_number": "541-474-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275661",
            "telephone_number": "541-474-6053",
            "fax_number": "541-474-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Hurley Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124012400",
            "country_code": "US",
            "telephone_number": "845-339-2804",
            "fax_number": "845-339-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOROFSKY",
        "first_name": "LAUREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017939",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA187788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Oehling, M.D.
• Donald Ogan
• Theresa Anne Ogden
• Ohana GP Operations LLC (Oak Lane Assisted Living)
• Ohana Grants Pass Operations LLC (Bridge Assisted Living)
• Kyle Oliverio
• Denise Olson, CADC II
• Georgianna Olson, LPC
• Krista Olson
• Melanie M Olsrud, FNP

• Medical Physician Assistant in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.