Larissa A Kavanagh (NPI# 1306256250, PAC ID# 4284851080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306256250 |
| PAC ID by PECOS | 4284851080 |
| Professional Enrollment ID | I20140818001866 |
| Full Name | Larissa A Kavanagh |
| Organization Legal Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Address |
275 Hwy 16 N Suite 202 Denver NC 28037-3002 |
| Phone Number | 7047329843 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2961310685 |
| Number of Group Practice Members | 429 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | CAROLINAS PHYSICIANS NETWORK INC | |
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | CAROLINAS MEDICAL CENTER | |
| 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2969 | 7043558816 | CAROLINAS MEDICAL CENTER |
| 10660 Park Rd, Suite 3400, Charlotte, NC 28210-8461 | 7046671540 | CAROLINAS PHYSICIANS NETWORK INC |
| 1437 Scott Ave, Charlotte, NC 28203-5843 | 7044465860 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| 990 Lee Ann Dr Ne, Concord, NC 28025-2957 | 7043730212 | CAROLINAS PHYSICIANS NETWORK INC |
| 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 | 7047329843 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Organization Legal Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Physicians | 440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley Eugene | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 340 Jake Alexander W Blvd, Salisbury, NC 28147-1364 |
| Amanda Renee Gordon | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 315 Medical Park Dr, Suite 202, Concord, NC 28025-2973 |
| Ariel Catherine Haddad | Obstetrics/gynecology | The Charlotte-mecklenburg Hospital Authority | 1054 Burrage Nerd, Concord, NC 28025-2910 |
| Dennis Joseph Charette | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 412 E Franklin St, Franklin St Ambulatory Clinic, Monroe, NC 28112-5600 |
| Armida G Parala-metz | Hospice/palliative Care | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Jameel F Audeh | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 181 Daniel Rd, Suite 100, Forest City, NC 28043-7151 |
| Samantha Jo Lane | Internal Medicine | The Charlotte-mecklenburg Hospital Authority | 3020 Weddington Rd, Concord, NC 28027-8158 |
| Jennifer B Hale | General Surgery | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Lucy N Fancourt | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 888 Church St N, Concord, NC 28025-4350 |
| Ali Reza Golshayan | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 2610 Aberdeen Blvd, Gastonia, NC 28054-0637 |
| Street Address |
275 HWY 16 N SUITE 202 |
| City | DENVER |
| State | NC |
| Zip | 28037-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armida G Parala-metz | Hospice/palliative Care | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Trisha M Wooten | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Zainab Shahid | Infectious Disease | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Michael S Richardson | Internal Medicine | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| John Stuart Salmon | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Leah H Cupp | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Deba Sarma | Surgical Oncology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Alison S Stevons | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Gregory M Brouse | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Seungjean Chai | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney L Redelsperger | Internal Medicine | 294 Hwy 16 N, Suite C, Denver, NC 28037 | |
| Thomas J Koewler | Family Medicine | Carolinas Physicians Network Inc | 275n Hwy 16 104, Denver, NC 28037-3002 |
| Ellen Shannon Story | Endocrinology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Matthew Mcguire Rees | Hematology/oncology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Ryan W Jacobs | Internal Medicine | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Jessica-lyn Masterson | Hospice/palliative Care | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Reza Nazemzadeh | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Doyle L Shelton | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Christina S Clarkson | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Timothy J Hall | Emergency Medicine | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Find all physicians in zip 28037 | |||
| City | DENVER |
| Zip Code | 28037 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DENVER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Larissa A Kavanagh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.