Olivia Mae Larussa (NPI# 1023530342, PAC ID# 7113272006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023530342 |
| PAC ID by PECOS | 7113272006 |
| Professional Enrollment ID | I20180618001382 |
| Full Name | Olivia Mae Larussa |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Address |
2 Medical Park Rd Columbia SC 29203-6839 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5991099707 |
| Number of Group Practice Members | 691 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| 2 Medical Park Rd, Columbia, SC 29203-6839 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP | |
| 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6876 | 8035401000 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Physicians | 679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Cobert Belsches | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 115 Blarney Dr, Suite 108, Columbia, SC 29223-6291 |
| Lateef Alana Harper | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 300 Rice Meadow Way, Columbia, SC 29229-8424 |
| Marion Claire Geddings | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 115 N Sumter St, Suite 315, Sumter, SC 29150-4967 |
| Samuel Jay Storch | Urology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6839 |
| Suchita Shirish Pancholi | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 1801 Sunset Dr, Columbia, SC 29203-6803 |
| Gwendolyn E Bowers | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 11 Atrium Ridge Ct, Columbia, SC 29223-6438 |
| Williams C Andrew | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 1410 Blanding St, Suite 102, Columbia, SC 29201-2967 |
| Victoria L Fenters | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 1316 N Lake Dr, Lexington, SC 29072-7653 |
| Lauren S Barron | Psychiatry | Palmetto Health-university of South Carolina Medical Group | 720 Gracern Rd, Suite 120, Columbia, SC 29210-7657 |
| Anil Purohit | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 |
| Street Address |
2 MEDICAL PARK RD |
| City | COLUMBIA |
| State | SC |
| Zip | 29203-6839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Jay Storch | Urology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6839 |
| Laurence T Oconnor | Urology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6839 |
| Hance Oliver | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 203, Columbia, SC 29203-6839 |
| Ali Abbas Rizvi | Endocrinology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6876 |
| Elizabeth Edwards | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6839 |
| Scott M Castle | Urology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6839 |
| Eric E Shoup | Physician Assistant | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Columbia, SC 29203-6839 |
| David E Koon Jr. | Orthopedic Surgery | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6839 |
| Elliott H Chen | Plastic and Reconstructive Surgery | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 302, Columbia, SC 29203-6839 |
| Wendy J Hartshorne | Obstetrics/gynecology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 107, Columbia, SC 29203-6839 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Logan Hardy | Emergency Medicine | Prisma Health Midlands | 14 Medical Park Rd, Suite 350, Columbia, SC 29203 |
| Robin B Welsh | Psychiatry | University Pediatrics | 14 Medical Park, Suite 400, Columbia, SC 29203 |
| Lawrence K Siegel | Pediatric Medicine | University Pediatrics | 9 Medical Park, Columbia, SC 29203 |
| Ronnie W Neuberg | Pediatric Medicine | Palmetto Health | 7 Medical Park, Suite 203, Columbia, SC 29203 |
| Melanie Blackburn | Pediatric Medicine | University Pediatrics | 14 Medical Park, Columbia, SC 29203 |
| Julia B Ballance | Pediatric Medicine | University Pediatrics | 14 Medical Park, Columbia, SC 29203 |
| Matthew M Wienecke | Cardiovascular Disease (cardiology) | University Pediatrics | 9 Medical Park, Suite 110, Columbia, SC 29203 |
| Charles W Derrick Jr. | Pediatric Medicine | University Pediatrics | 9 Medical Park, Columbia, SC 29203 |
| Whitney Brown | Endocrinology | University Pediatrics | 9 Medical Park, Columbia, SC 29203 |
| Stacey M Humphreys | Critical Care (intensivists) | Palmetto Health | 7 Medical Park, Suite 203, Columbia, SC 29203 |
| Find all physicians in zip 29203 | |||
| City | COLUMBIA |
| Zip Code | 29203 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLUMBIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Olivia Mae Larussa.
| 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.