Active NPI
Lauren Johnson Osullivan
- Gynecology Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- DO26683
- Legal business name
- LAUREN JOHNSON OSULLIVAN
- Practice address
- 1102 NE 4TH St
Bend, OR 97701-4533 - Phone
- (541) 389-0450
- Fax
- (541) 389-9567
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Johnson O'Sullivan, D.O.
- Title
- Owner
- Phone
- (541) 389-0450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | DO26683 | OR | Primary |
Addresses
Primary practice location
1102 NE 4TH St
Bend, OR 97701-4533
Mailing address
1102 NE 4TH St
Bend, OR 97701-4533
Phone (541) 389-0450
Other names 1
- LAUREN O'SULLIVAN DO LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0628333 | Lauren O'Sullivan DO | Provider-performed microscopy | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
1102 NE 4th St
Bend, OR 97701
Phone (541) 389-0450
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Bend, OR
- NPI 1316983679
-
- Women's Health Nurse Practitioner
- Bend, OR
- NPI 1982448114
Single Specialty
-
- Obstetrics & Gynecology Physician
- Bend, OR
- NPI 1831346402
-
- Behavior Technician
- Bend, OR
- NPI 1396313847
-
- Gynecology Physician
- Bend, OR
- NPI 1073568762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591056000000",
"number": "1669660213",
"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",
"fax_number": "541-389-9567"
},
{
"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",
"fax_number": "541-389-9567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREN JOHNSON OSULLIVAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A",
"authorized_official_last_name": "O'SULLIVAN",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-389-0450",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OR",
"license": "DO26683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LAUREN O'SULLIVAN DO LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.