ANDREW LARSEN


Address: 123 Everett Rd, Albany, NY 12205
Phone: 5187012000

ANDREW LARSEN (NPI# 1669841920) 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) 1669841920
Entity Type Individual
Full Name ANDREW LARSEN
Credential PA-C
Practice Address 123 Everett Rd
Albany
NY 12205
Mailing Address 123 Everett Rd
Albany
NY 12205-1407
Practice Telephone 5187012000
Practice Fax Number 5187012020
Mailing Telephone 5187012000
Mailing Fax Number 5187012020
Enumeration Date 2015-09-16
Last Update Date 2019-10-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 019038-1 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
019038 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Mountain View Ledge Dr, Gansvoort, NY 12831 5187012000 5187012020

Other Providers ANDREW LARSEN

NPI Name Taxonomy Address Enumeration
1033387519 Andrew Craig Larsen Massage Therapist 870 W Market St, Ste. 69, Tiffin, OH 44883-2567 2008-02-18
1720590383 Andrew John Larsen Social Worker 237 26th St, Ogden, UT 84401 2017-11-03
1922238344 Andrew Larsen Family Medicine 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 2009-07-20

Office Location

Street Address 123 EVERETT RD
City ALBANY
State NY
Zip Code 12205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063419232 Gavin Setzen Otolaryngology 123 Everett Rd, Albany, NY 12205-1407 2005-07-03
1649881061 Maria Pina Ragonese Audiologist 123 Everett Rd, Albany, NY 12205-1407 2020-08-10
1629619846 Daniel A Horton Physician Assistant 123 Everett Rd, Albany, NY 12205-1407 2019-09-30
1912553017 Courtney Leadbeater Audiologist 123 Everett Rd, Albany, NY 12205-1407 2019-08-14
1164083911 Everett Road Asc, LLC Clinic/Center 123 Everett Rd, Albany, NY 12205-1407 2019-06-24
1710496757 Jacqueline Rosenbaum Physician Assistant 123 Everett Rd, Albany, NY 12205-1407 2017-09-21
1255772232 Michael J Rizzuto Physician Assistant 123 Everett Rd, Albany, NY 12205-1407 2013-07-08
1750649760 Jessica Lynn Riccio Otolaryngology 123 Everett Rd, Albany, NY 12205-1407 2012-04-26
1730461914 Dana A Wilhite Audiologist 123 Everett Rd, Albany, NY 12205-1407 2011-09-14
1760641096 Nora Whitbeck Perkins Otolaryngology 123 Everett Rd, Albany, NY 12205-1407 2008-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564053 Capital Regional Rx LLC Pharmacy 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 2020-10-07
1548722549 The Alternative Living Group, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 500 New Karner Road, Suite 3, Albany, NY 12205 2019-04-01
1003398439 Sarah Itwaru Social Worker 401 New Karner Road, Albany, NY 12205 2018-09-01
1740708106 Kenneth Cook Physician Assistant 121everett Rd, Albany, NY 12205 2017-09-06
1437691839 Sarah Avery Physical Therapist 5 S Family Dr, Colonie, NY 12205 2016-11-16
1063892776 Olsen Medical Sales, LLC Durable Medical Equipment & Medical Supplies 98 Everett Rd, Albany, NY 12205 2015-06-08
1972921484 Alixandra Joy Foisy Social Worker 42 Oakwood Dr, Albany, NY 12205 2014-04-01
1780015206 The Promptcare Companies Durable Medical Equipment & Medical Supplies 1015c Central Avenue, Albany, NY 12205 2013-12-09
1396088332 Early Childhood Education Center Day Training, Developmentally Disabled Services 251 Washington Ave Extension, Albany, NY 12205 2013-03-28
1487906707 Centerfordisabiltyservices Preferred Provider Organization 5 Keller Street, Albany, NY 12205 2012-10-10
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922489384 Jessica Patrizio Physician Assistant 25 Hackett Blvd # Mc69, Albany, NY 12208-3462 2015-06-11
1952799611 Tezita Beemnet Physician Assistant 1712 E Broad Ave # Setc, Albany, GA 31705-2611 2015-01-05
1437485257 Rebecca M Hosey Physician Assistant 116 Everett Road, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 2009-10-29
1124185590 Christine Elizabeth Mcgovern Physician Assistant 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 2007-01-03
1508893157 Cheryl J Perog Physician Assistant St. Peter's Hospitoal Occupational Health, 310 South Manning Boulevard, Albany, NY 12053 2006-06-27
1598744534 Richard H Stowe Jr. Physician Assistant 425 W 3rd Ave Ste 550, Albany, GA 31701-1999 2006-01-10
1043218878 John A Dennis Physician Assistant 1200 N Jefferson St, Albany, GA 31701-2057 2005-07-14
1265430326 Dennis I. Silber Physician Assistant 2 Palisades Drive, Albany, NY 12205-1438 2005-07-12
1700496635 Angela Cunningham Physician Assistant 43 New Scotland Ave, Albany, NY 12208-3412 2020-08-05
1629619846 Daniel A Horton Physician Assistant 123 Everett Rd, Albany, NY 12205-1407 2019-09-30
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Competitor

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City ALBANY
Zip Code 12205

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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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