ASHLEY J LARSEN (NPI# 1144301458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144301458 |
| Entity Type | Individual |
| Full Name | ASHLEY J LARSEN |
| Credential | PAC |
| Practice Address |
2a Doctors Dr Ocean Springs MS 39564-5721 |
| Practice Telephone | 2288721951 |
| Practice Fax Number | 2288759998 |
| Mailing Telephone | 2288721951 |
| Mailing Fax Number | 2288759998 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00156 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-519 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
200067 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06105593 | 05 | |
| LA | 1371866 | 05 | |
| MS | MEDICARE | 302I970729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1043584642 | Ashley Larsen | Licensed Practical Nurse | 411 W Mill St, Paynesville, MN 56362-1436 | 2012-02-28 |
| 1629619986 | Ashley Alice Larsen | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2019-10-07 |
| 1457708463 | Ashley Larsen | Dietitian, Registered | 2811 W California Ave, Fresno, CA 93706-2306 | 2016-05-19 |
| 1275905671 | Ashley Larsen | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2015-10-24 |
| 1134527104 | Ashley Larsen | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2014-12-08 |
| 1952654386 | Ashley Marie-frew Larsen | Physician Assistant | 1975 Verdugo Blvd, La Canada Flintridge, CA 91011-3018 | 2012-10-23 |
| 1245580885 | Ashley Marie Larsen | Massage Therapist | 1707 Oak St, Suite D, Bozeman, MT 59715-2125 | 2012-09-11 |
| 1114193117 | Ashley Kristen Larsen | Social Worker | 750 N 200 W, Provo, UT 84601-1677 | 2008-04-30 |
| Street Address |
2A DOCTORS DR |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013966969 | Angelle P Lowery | Physician Assistant | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-05-09 |
| 1316403934 | Ashley Ladner Bourgeois | Physician Assistant | 5935 Washington Ave, Ocean Springs, MS 39564-2679 | 2019-02-19 |
| 1174861058 | Carrie J Grant | Physician Assistant | 3650 Groveland Rd, Ocean Springs, MS 39564-5754 | 2013-01-28 |
| 1548596166 | Matthew Gregory Dykes | Physician Assistant | 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1962804211 | Miranda Street Sudduth | Physician Assistant | 1607 Doctors Drive, Madison, MS 39110 | 2014-09-18 |
| 1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
| 1710316880 | Vani Naraharisetty | Physician Assistant | 101 Asbury Circle, Hattiesburg, MS 39402-1150 | 2013-11-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1083878243 | Garrett Miller | Physician Assistant | 81 Mdg (aetc), 301 Fisher St, Keelser Afb, MS 39534 | 2008-07-16 |
| 1891979597 | Franklin Mcgrew | Physician Assistant | 22689 Highway 63 North, Leakesville, MS 39451 | 2007-12-18 |
| 1851421192 | Angela Marie Dauro | Physician Assistant | 147 Reynoir St Ste 200, Biloxi, MS 39530-4121 | 2007-03-06 |
| 1952441941 | Donald E Stanford | Physician Assistant | 142 County Road 1548, Saltillo, MS 38866-9006 | 2007-02-07 |
| 1801866736 | Carlson D Moss | Physician Assistant | Naval Branch Medical Clinic Pascagoula, Pascagoula, MS 39595-0001 | 2006-01-24 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
Please comment or provide details below to improve the information on ASHLEY J LARSEN.
| 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.