Laura Lanette Obenauf, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003948 Issued in MI

Practice address

1840 Wealthy St SE
MC 426
Grand Rapids, MI 49506-2921

Phone

(616) 774-5221

Fax

(616) 774-5391

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Lanette Lugo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Grand Rapids Addiction Medicine Specialists PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1780642355
  NPD (past)
• Hospitalists of West Michigan PC

  • Infusion Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1942334636
  NPD (past)
• Saint Mary'S Health Services

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1639111057
  NPD (past)
• Trinity Health - Michigan

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1902002272
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1982678652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1682",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011682",
            "telephone_number": "616-774-5221",
            "fax_number": "616-774-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEALTHY ST SE",
            "address_2": "MC 426",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062921",
            "telephone_number": "616-774-5221",
            "fax_number": "616-774-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENAUF",
        "first_name": "LAURA",
        "middle_name": "LANETTE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LUGO",
            "middle_name": "LANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Kae Oakes, MPT
• Oam Surgery Center at Midtowne, LLC
• Vernon R. Oard, MA, LLP
• Oasis Care Services LLC
• Mary E Oatey, D.O.
• David Oberlin, M.D.
• Cassandra Oberndorf, DO
• Sylvia Cristina Obert, MA
• Alexandra Jo Obetts, OTR/L
• Obf Enterprises LLC

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.