MR. LARRY ALTON WASHBURN (NPI# 1851365332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851365332 |
| Entity Type | Individual |
| Full Name | MR. LARRY ALTON WASHBURN |
| Credential | PAC |
| Practice Address |
5335 Discovery Park Blvd Ste B Williamsburg VA 23188-2696 |
| Mailing Address |
4374 New Town Ave Ste 100 Williamsburg VA 23188-2865 |
| Practice Telephone | 7572530603 |
| Mailing Telephone | 7572521900 |
| Mailing Fax Number | 7572591901 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-06395 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 0110840677 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4374 New Town Ave, Ste 100, Williamsburg, VA 231882865 | 7572521900 | 7572591901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265629729 | Larry L Washburn | Optometrist | 505 N Franklin Ave, Ste B, Colby, KS 67701-2356 | 2007-09-28 |
| Street Address |
5335 DISCOVERY PARK BLVD STE B |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720357247 | Hampton Roads Orthopaedics & Sports Medicine | Pain Medicine | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2011-12-29 |
| 1548571771 | Scott Bradley | Physical Medicine & Rehabilitation | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2010-06-22 |
| 1730158346 | Sarah E Bott | Physician Assistant | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2006-03-16 |
| 1942275094 | Alexander L Lambert II | Orthopaedic Surgery | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461589 | Nicholas Aukland | Physician Assistant | 105 Halstead Ln, Williamsburg, VA 23185-8357 | 2020-03-07 |
| 1841859584 | Brittany Sierra Dow | Physician Assistant | 207 Bay View Ln, Williamsburg, KY 40769-2850 | 2019-06-06 |
| 1427513803 | Nicholas Jorge Cordova | Physician Assistant | 109 Teal Way, Williamsburg, VA 23188-1675 | 2019-02-09 |
| 1154676104 | John Lynch | Physician Assistant | 4179 Ambassador Cir, Williamsburg, VA 23188-1450 | 2012-07-16 |
| 1861796534 | Kathleen Marie Kephart | Physician Assistant | 202 Cove Forge Rd, Williamsburg, PA 16693-7138 | 2011-01-10 |
| 1083862098 | Mary Rebecca Stoll | Physician Assistant | 3950 Shore Dr, Williamsburg, MI 49690-9548 | 2008-09-03 |
| 1871566489 | Gary J Schaub | Physician Assistant | 6100 Us 31 North, Williamsburg, MI 49690 | 2006-02-13 |
| 1396206710 | Debra Statz | Physician Assistant | 400 Sentara Cir Ste 103, Williamsburg, VA 23188-5716 | 2019-03-28 |
| 1881166312 | John Davis Ireland | Physician Assistant | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2018-12-21 |
| 1891272563 | Chantha Innerarity | Physician Assistant | 120 Kings Way Ste 2700, Williamsburg, VA 23185-2554 | 2018-07-25 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.