LARRY M MARCUS, MD, FACS (NPI# 1659549624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659549624 |
| Entity Type | Organization |
| Organization Name | LARRY M MARCUS, MD, FACS |
| Practice Address |
255 N Main St Bristol CT 06010-4972 |
| Practice Telephone | 8605855888 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | LARRY MARCUS (PHYSICIAN) |
| Authorized Official Telephone | 8605855888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
029258 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
255 N MAIN ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743991 | Larry M Marcus | Otolaryngology | 255 N Main St, Bristol, CT 06010-4972 | 2005-10-10 |
| 1518479385 | Alyssa Romano | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2017-11-01 |
| 1750809992 | Hannah Runyon | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2017-09-08 |
| 1629593918 | Nicholas John Martin | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2017-08-08 |
| 1831631423 | Jared Yager | Specialist/Technologist | 255 N Main St, Bristol, CT 06010-4972 | 2016-11-14 |
| 1508318791 | Christopher Carriere | Specialist/Technologist | 255 N Main St, Bristol, CT 06010-4972 | 2016-11-04 |
| 1891183018 | Select Physical Therapy | Clinic/Center | 255 N Main St, Bristol, CT 06010-4972 | 2014-12-23 |
| 1992076293 | Ptsma, Inc | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2012-01-18 |
| 1437340361 | Nicole Ann Bacon | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2007-08-06 |
| 1487844767 | Sarah J Maffucci | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2007-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
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| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396041026 | Claude Howard Crockett Jr. | Otolaryngology | 1734 Long Crescent Dr, Bristol, VA 24201-1522 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821329327 | Robert Emmett Mccarthy | Otolaryngology | 50 Bartman Rd, Higganum, CT 06441-4415 | 2010-01-22 |
| 1467936831 | Johnny Mao, Md PC | Otolaryngology | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2018-09-20 |
| 1881880813 | Sharon Ear, Nose and Throat, PC | Otolaryngology | 29 Hospital Hill Rd, Suite 1900, Sharon, CT 06069-2095 | 2007-09-24 |
| 1780734608 | Neil Alan Gordon | Otolaryngology | 539 Danbury Rd, Wilton, CT 06897-2216 | 2007-01-11 |
| 1861560922 | Eastern Connecticut Ear, Nose & Throat PC | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
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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.