Individual provider Active NPI

Laura Elisabeth Mong, D.O.

  • Sleep Medicine (Family Medicine) Physician
  • Lancaster, OH
National Provider Identifier
1770846552
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
34.011972 Issued in OH
Practice address
135 N Ewing St Ste 301
Lancaster, OH 43130-3379
Phone
(740) 689-4925
Fax
(740) 689-4885
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 34.011972 OH Primary
Family Medicine Physician 207Q00000X 34.011972 OH

Addresses

Primary practice location

135 N Ewing St Ste 301
Lancaster, OH 43130-3379

Mailing address

1153 E Main St
PO Box 2563
Lancaster, OH 43130-4056
Phone (740) 687-8990

Other identifiers 1

IdentifierTypeStateIssuer
0184582MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151012002107 OH Practitioner - Sleep MedicinePractitioner - Family Practice 6709106784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011972OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Sep 19, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Sep 19, 2016 Accepting new patients
Adena Medical Group LLC Family Medicine CurrentSince Sep 28, 2015 Accepting new patients
Fairfield Medical Center Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Family Medicine Past Accepting new patients
Columbus Radiology Corp Past Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

1000 Veterans Dr
Jackson, OH 45640
Phone (740) 395-8050

135 N Ewing St
Ste 204
Lancaster, OH 43130
Phone (740) 689-4925

1201 River Valley Blvd
Lancaster, OH 43130
Phone (740) 303-4300

135 N Ewing St
Ste 301
Lancaster, OH 43130
Phone (740) 654-3668

1153 E Main St
Lancaster, OH 43130
Phone (740) 687-8990

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: lmong137823@direct.metrohealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1770846552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 E MAIN ST",
            "address_2": "PO BOX 2563",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-687-8990",
            "fax_number": "740-687-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N EWING ST STE 301",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303379",
            "telephone_number": "740-689-4925",
            "fax_number": "740-689-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONG",
        "first_name": "LAURA",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "OH",
            "license": "34.011972",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.