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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | STATE LICENSE | PA156716 | 01 |
KS | STATE LICENSE | 15-01709 | 01 |
Street Address |
1112 W 6TH ST SUITE124 |
City | LAWRENCE |
State | KS |
Zip Code | 66044-2215 |
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 |
1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
Find all providers in zip 66044 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675725 | Jordan Levi Walter | Physician Assistant | Associated Urologsits P A, 1133 College Ave G100, Manhattan, KS 66502-2756 | 2019-05-29 |
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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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.