Active NPI
Laura Lynn Dollison, DO
- Emergency Medicine Physician
- Youngstown, OH
National Provider Identifier
1780604355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.005729
- Practice address
- 500 Gypsy LN
Youngstown, OH 44504-1315 - Phone
- (330) 884-1000
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.005729 | OH | Primary |
Addresses
Primary practice location
500 Gypsy LN
Youngstown, OH 44504-1315
Mailing address
3665 Deer Ridge Run
Cuyahoga FLS, OH 44223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00250336 | Other | OH | MEDICARE TRAVELERS RR-GA |
| 0929973 | Medicaid | OH | |
| 942460636294 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Falls Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Hospital Medicine Associates of Ohio Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- ldollison@direct.swgeneral.com
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Norwalk, OH
- NPI 1508168253
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Cuyahoga Falls, OH
- NPI 1295713964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1780604355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 DEER RIDGE RUN",
"city": "CUYAHOGA FLS",
"state": "OH",
"postal_code": "44223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041315",
"telephone_number": "330-884-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLISON",
"first_name": "LAURA",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.005729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS RR-GA",
"identifier": "P00250336",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0929973",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "942460636294",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.