Active NPI
Laila A Naqib-Osman, MD
- Anatomic Pathology & Clinical Pathology Physician
- Longview, WA
National Provider Identifier
1821039777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 42676
- Practice address
- 720 14TH Ave
Longview, WA 98632-2315 - Phone
- (360) 501-8315
- Fax
- (360) 425-7219
- NPI assigned
- Jun 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 42676 | WA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 42676 | WA | Primary |
Addresses
Primary practice location
720 14TH Ave
Longview, WA 98632-2315
Mailing address
PO Box 3012
Longview, WA 98632
Phone (360) 425-5620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8357451 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42676 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients |
Locations
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
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.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
-
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Morton, WA
- NPI 1154361814
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1821039777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-425-5620",
"fax_number": "360-425-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 14TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322315",
"telephone_number": "360-501-8315",
"fax_number": "360-425-7219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAQIB-OSMAN",
"first_name": "LAILA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "WA",
"license": "42676",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "42676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8357451",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.
- 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.