MALLORY E LARKIN


Address: 1112 W 6th St, Suite124, Lawrence, KS 66044-2215
Phone: 7858439125

MALLORY E LARKIN (NPI# 1124393095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124393095
Entity Type Individual
Full Name MALLORY E LARKIN
Other Name MALLORY E HELTON
Credential PA
Practice Address 1112 W 6th St
Suite124
Lawrence
KS 66044-2215
Practice Telephone 7858439125
Practice Fax Number 7858430032
Mailing Telephone 7858439125
Mailing Fax Number 7858430032
Enumeration Date 2012-03-12
Last Update Date 2014-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA156716 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR STATE LICENSE PA156716 01
KS STATE LICENSE 15-01709 01

Office Location

Street Address 1112 W 6TH ST
SUITE124
City LAWRENCE
State KS
Zip Code 66044-2215

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NPI Name Taxonomy Address Enumeration
1285637454 Paul D Morte Psychiatry & Neurology 1112 W 6th St, Ste 218, Lawrence, KS 66044-2249 2005-05-23
1235588534 Carletta Kay Bassett Hearing Instrument Specialist 1112 W 6th St, Ste 216, Lawrence, KS 66044-2215 2016-06-07
1285094102 Pelvic Health Specialists, LLC Obstetrics & Gynecology 1112 W 6th St, Ste 212, Lawrence, KS 66044-2215 2016-03-04
1871986570 Lawrence Physicians LLC Specialist 1112 W 6th St, Suite 216, Lawrence, KS 66044-2215 2015-03-05
1164822003 Deva Bonnel Physical Therapist 1112 W 6th St, Suite 124, Lawrence, KS 66044-2215 2014-08-28
1750798906 Lawrence Physicians LLC Emergency Medicine 1112 W 6th St, Suite 109, Lawrence, KS 66044-2215 2014-07-21
1902111297 Erin E Meyer Physician Assistant 1112 W 6th St, #124, Lawrence, KS 66044-2215 2010-08-11
1588975130 Michael Libby Mulhern Ophthalmology 1112 W 6th St, Ste 214, Lawrence, KS 66044-2215 2010-06-29
1245477421 Lawrence Memorial Hospital Emergency Medicine 1112 W 6th St, Suite 109, Lawrence, KS 66044-2215 2009-01-09
1396981049 Karla Elaine Busboom Physician Assistant 1112 W 6th St, Ste 124, Lawrence, KS 66044-2215 2008-12-31
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NPI Name Taxonomy Address Enumeration
1770041766 Leslie Lynne Snow Radiology 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 2019-03-08
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1467826180 Americare At Monterey Village Assited Living LLC Assisted Living Facility 3901 Peterson Road, Lawrence, KS 66044 2015-11-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699795112 Kenneth Brian Filsinger Physician Assistant 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 2006-07-20
1023675923 Robert Gregory Hill Physician Assistant 354 Merrimack St, Lawrence, MA 01843-1754 2019-05-26
1790248912 Maddie Lynch Physician Assistant 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 2019-04-14
1760926653 Robert Lapierre Physician Assistant 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 2016-12-12
1619250768 Racquel Z Szabo Physician Assistant 1130 W 4th St Ste 3202, Lawrence, KS 66044-1328 2011-09-26
1902111297 Erin E Meyer Physician Assistant 1112 W 6th St, #124, Lawrence, KS 66044-2215 2010-08-11

Providers in the same taxonomy and state

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1316217102 Tina L Lee Physician Assistant 15263 Sweetbriar Dr, Basehor, KS 66007-3031 2012-01-10
1407098395 Kara Leigh-lawless Boyd Physician Assistant 3651 College Boulevard, Leawood, KS 66211 2009-03-24
1053446708 Eastern Surgical Assistants, LLC Physician Assistant 16427 Metro Ave, Bonner Springs, KS 66012-7108 2007-02-22
1730223785 Ty M. Taylor Physician Assistant 8321 Alden St, Lenexa, KS 66215-4213 2007-02-16
1366457038 Gustav Thomas Riemer Physician Assistant 9119 W. 74th Street, Suite 354, Shawnee Mission Medical Building, Merriam, KS 66204 2006-07-30
1962435552 Gregory Bryan De Laney Physician Assistant 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 2006-07-08
1538122973 Leah Alpers Physician Assistant 351 W 10th St, Hoisington, KS 67544-1715 2006-04-07
1275596611 Anne Linenberger Physician Assistant 1514 K 96 Highway, Great Bend, KS 67530 2006-04-07
1669433652 Mark Lee Pemberton Physician Assistant 9119 W 74th St Ste 260, Shawnee Mission, KS 66204-2268 2006-03-29
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Competitor

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City LAWRENCE
Zip Code 66044

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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