LARRY J ASSALITA (NPI# 1669656419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669656419 |
| Entity Type | Organization |
| Organization Name | LARRY J ASSALITA |
| Practice Address |
110 Regent Ct Suite 200 State College PA 16801-7966 |
| Practice Telephone | 8142380675 |
| Practice Fax Number | 8142388455 |
| Mailing Telephone | 8142380675 |
| Mailing Fax Number | 8142388455 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | DR. LARRY J ASSALITA (PROPRIETOR) |
| Authorized Official Telephone | 8142380675 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
SC002410-L | PA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | SC002410-L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0867765 | 05 | |
| TRICARE | 862816801 | 01 |
| Street Address |
110 REGENT CT SUITE 200 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532164 | Donald W Wells | Dentist | 110 Regent Ct, State College, PA 16801-7966 | 2006-07-19 |
| 1609317478 | Pelka Endodontics, LLC | Dentist | 110 Regent Ct, State College, PA 16801-7966 | 2017-03-13 |
| 1215249313 | Jakub Pelka | Dentist | 110 Regent Ct, Ste. 100, State College, PA 16801-7966 | 2010-07-07 |
| 1275857484 | Rebecca Agnew | Social Worker | 110 Regent Ct, Suite 103, State College, PA 16801-7966 | 2010-03-16 |
| 1376795393 | Barry L. Holden | Dentist | 110 Regent Ct, Suite #100, State College, PA 16801-7966 | 2008-10-22 |
| 1235354564 | Cheri A Basco | Dentist | 110 Regent Ct, Suite 201, State College, PA 16801-7966 | 2007-04-13 |
| 1205972353 | Celeste Ann Parker | Psychologist | 110 Regent Ct, Suite 103, State College, PA 16801 | 2007-01-29 |
| 1306928015 | Brian Donald Christian | Dentist | 110 Regent Ct, Suite 201, State College, PA 16801-7966 | 2006-10-20 |
| 1891877510 | Scenery Park Dental Associates, PC | Dentist | 110 Regent Ct, Suite 201, State College, PA 16801-7966 | 2006-10-20 |
| 1184716714 | Richard Allen Stuart | Psychologist | 110 Regent Ct, Suite 103, State College, PA 16801 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1164549184 | Compression Management Services, Inc. | Durable Medical Equipment & Medical Supplies | 2766 W College Ave, Suite 3, State College, PA 16801-2647 | 2007-03-23 |
| 1043309784 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1927 South Atherton Street, Hills Plaza, State College, PA 16801-7606 | 2006-10-12 |
| 1467551705 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 510 Westerly Parkway, State College, PA 16801-5905 | 2006-09-22 |
| 1861591125 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1536 North Atherton Street, State College, PA 16803-3041 | 2006-09-22 |
| 1033217641 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1101 N Atherton St, State College, PA 16803-2927 | 2006-09-20 |
| 1871503714 | Dicks Home Care Inc | Durable Medical Equipment & Medical Supplies | 1300 Benner Pike, Ste 3, State College, PA 16801-7325 | 2006-08-09 |
| 1992727622 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 315 Colonnade Blvd, State College, PA 16803-2321 | 2006-07-24 |
| 1013934173 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 373 Benner Pike, State College, PA 16801-7304 | 2006-07-16 |
| 1134146285 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1665 N Atherton St, State College, PA 16803-1417 | 2006-07-16 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on LARRY J ASSALITA.
| 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.