MR. LARRY LEAVITT


Address: 369 South St, Pittsfield, MA 01201-6803
Phone: 5187727710

MR. LARRY LEAVITT (NPI# 1033327705) 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) 1033327705
Entity Type Individual
Full Name MR. LARRY LEAVITT
Credential PA
Practice Address 369 South St
Pittsfield
MA 01201-6803
Practice Telephone 5187727710
Practice Fax Number 5187727710
Mailing Telephone 5187727710
Mailing Fax Number 5187727710
Enumeration Date 2007-05-18
Last Update Date 2011-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 003089 NH Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 0643 NH Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 3089 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
2589 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 30336040 05

Office Location

Street Address 369 SOUTH ST
City PITTSFIELD
State MA
Zip Code 01201-6803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487643656 Richard M Basile Surgery 369 South St, Suite 1, Pittsfield, MA 01201-6803 2005-10-19
1821302290 Richard M. Basile, Md PC Surgery 369 South St, Pittsfield, MA 01201-6803 2010-07-28
1295052991 Ioana C Stanescu Md PC Internal Medicine 369 South St, Pittsfield, MA 01201-6803 2010-04-21
1033328786 Berkshire Allergy Care, P.C. Allergy & Immunology 369 South St, Pittsfield, MA 01201-6865 2007-05-21
1740215771 Thomas Bernard Edwards Allergy & Immunology 369 South St, Pittsfield, MA 01201-6803 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194292326 Dominic Boudini Social Worker Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 2018-10-25
1770066433 Michelle P Racicot Physical Therapy Assistant 144 Brighton Ave, Pittsfield, MA 01201 2018-09-10
1659853927 Janis W. Zimbler Social Worker 49 Kenilworth Street, Pittsfield, MA 01201 2018-09-04
1528545225 Claudia L Coplan Social Worker 262 Appleton Avenue, Pittsfield, MA 01201 2018-07-25
1255852083 Vandana Sethi Dentist Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 2017-07-01
1770011819 Vladimir Nazarov Dentist 690 Merrill Road, Pittsfield, MA 01201 2017-06-02
1215462254 Anqi Hu Dentist 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 2017-04-27
1942759162 Community Health Programs, Inc Clinic/Center 510 North St., Pittsfield, MA 01201 2016-09-29
1366990590 Daniel Pinsky I Counselor 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 2016-09-16
1275086746 Berkshire Medical Center, Inc Substance Abuse Rehabilitation Facility 48 Kent Ave, Pittsfield, MA 01201 2016-08-01
Find all providers in zip 01201

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
1174099386 Shannon Patricia O'driscoll Physician Assistant 777 North St, Pittsfield, MA 01201-4147 2018-10-16
1225503410 Sarah Elizabeth Lui Physician Assistant 725 North Street, Hospitalist Office, Pittsfield, MA 01201-4109 2018-10-04
1972996551 Chelsea Palmeri Physician Assistant 725 North St, Pittsfield, MA 01201-4109 2015-03-06
1831589092 Whitney Elan Colella Physician Assistant 426 South St, Pittsfield, MA 01201-8228 2015-01-27
1679988737 Nicole Moore Physician Assistant 447 N Main St, Pittsfield, ME 04967-3707 2014-06-27
1174886469 Austin James Michael Physician Assistant 725 North St, Pittsfield, MA 01201-4109 2012-06-21
1124307681 Elyse N Levesque Physician Assistant 725 North St, Pittsfield, MA 01201-4109 2011-08-15
1972890929 Mark D Mozzi Physician Assistant 725 North St, Pittsfield, MA 01201-4109 2011-06-28
1538492848 Erika L Valenzuela Physician Assistant 195 South St, Pittsfield, MA 01201-6866 2009-09-18
1104078120 Glenda Boykin Physician Assistant 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 2008-10-22
Find all providers in PITTSFIELD

Competitor

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City PITTSFIELD
Zip Code 01201

Improve Information

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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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