Sarah Laiosa, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SARAH LAIOSA, PC

Doing business as

ThriveWell Clinic

Practice address

77 W Washington St
Burns, OR 97720-1544

Phone

(541) 573-3000

Fax

(541) 797-6158

NPI assigned

Feb 2, 2022

Last updated

Feb 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Lynn Laiosa, D.O.NPI 1124261862

Title

Owner

Phone

(541) 573-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ThriveWell Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sarah Laiosa, PC

  dba ThriveWell Clinic

  • Rural Health Clinic/Center
  • Burns, OR
  • NPI 1164143277

  5496141004

  Same PAC ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Lynn Laiosa, DO

  • Family Medicine Physician
  • Burns, OR
  • NPI 1124261862
  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlyn Davis, PA-C

  • Physician Assistant
  • Burns, OR
  • NPI 1346922069
  Medicare reassignment Care Compare group
• Sharon Rose Peterson, MD

  • Family Medicine Physician
  • Beaverton, OR
  • NPI 1336304138
  Medicare reassignment NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1902559529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201544",
            "telephone_number": "541-573-3000",
            "fax_number": "541-797-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201544",
            "telephone_number": "541-573-3000",
            "fax_number": "541-797-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH LAIOSA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "LAIOSA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-573-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500651072",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThriveWell Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safeway Inc (Safeway Pharmacy #4469)
• Diana Lynn Sanchez, FAMILY PEER SUPPORT
• Jason Sanchez
• Kris Todd Sanders, MDT
• Sarah Laiosa, PC (ThriveWell Clinic)
• Mary Elizabeth Schimmelpfennig, FNP
• Linda Craska Selby, MD
• Ladd Shaner, C.R.N.A.
• Christopher Blaine Siegner, LCSW,QMHP
• Smile Burns (Dr. Kelley Mingus)

• Family Medicine Physician in Burns, OR
• Providers in Burns, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.