LARISSA ANN THOMAS (NPI# 1720344393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720344393 |
| Entity Type | Individual |
| Full Name | LARISSA ANN THOMAS |
| Credential | M.D. |
| Practice Address |
559 W Washington St Burns OR 97720-1441 |
| Practice Telephone | 5415732074 |
| Practice Fax Number | 5415738892 |
| Mailing Telephone | 5415732074 |
| Mailing Fax Number | 5415738892 |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD168475 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN PART A | R184141 | 01 | |
| MEDICARE PTAN - PART B | R184162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467864223 | Larissa Thomas | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2014-05-28 |
| 1508192873 | Larissa R Thomas | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, Room M-987, San Francisco, CA 94143-2204 | 2009-10-21 |
| Street Address |
559 W WASHINGTON ST |
| City | BURNS |
| State | OR |
| Zip Code | 97720-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660589 | Toni J Feist | Nurse Practitioner | 559 W Washington St, Burns, OR 97720-1441 | 2005-12-22 |
| 1447883525 | Mary Elizabeth Schimmelpfennig | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2020-02-18 |
| 1194167445 | Tyler J Volle | Physical Therapist | 559 W Washington St, Burns, OR 97720-1441 | 2013-07-26 |
| 1205278140 | Kris Todd Sanders | Physical Therapist | 559 W Washington St, Burns, OR 97720-1441 | 2013-07-19 |
| 1417396581 | Back On Track Physical Therapy, LLC | Clinic/Center | 559 W Washington St, Burns, OR 97720-1441 | 2013-06-21 |
| 1013276195 | Harney District Hospital | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2012-05-10 |
| 1801188685 | Heidi R Vanyo | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2011-05-11 |
| 1154419182 | Holland Hoyt Haynie IIi | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2006-10-11 |
| 1316034838 | William Barstow | Obstetrics & Gynecology | 559 W Washington St, Burns, OR 97720 | 2006-10-06 |
| 1487676821 | Kevin Johnston | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
| 1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
| 1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
| 1700448032 | Allegiant Integrative Medicine | General Practice | 229 N Egan Ave, Burns, OR 97720 | 2019-07-08 |
| 1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
| 1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
| 1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
| 1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
| Find all providers in zip 97720 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883525 | Mary Elizabeth Schimmelpfennig | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2020-02-18 |
| 1013276195 | Harney District Hospital | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2012-05-10 |
| 1801188685 | Heidi R Vanyo | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2011-05-11 |
| 1942529565 | Thomas M Fitzpatrick Md LLC | Family Medicine | 229 N Egan Ave, Burns, OR 97720-1741 | 2010-05-21 |
| 1124261862 | Sarah Lynn Laiosa | Family Medicine | 77 W Washington St, Burns, OR 97720-1544 | 2009-04-10 |
| 1710104351 | Thomas Richards | Family Medicine | 557 W Washington St, Burns, OR 97720-1441 | 2007-04-18 |
| 1154419182 | Holland Hoyt Haynie IIi | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2006-10-11 |
| 1700975703 | Robert O Morrison | Family Medicine | 557 W Washington St, Burns, OR 97720-1441 | 2006-10-11 |
| 1487676821 | Kevin Johnston | Family Medicine | 559 W Washington St, Burns, OR 97720-1441 | 2006-07-24 |
| 1588684781 | Thomas Mark Fitzpatrick | Family Medicine | 229 N Egan Ave, Burns, OR 97720-1741 | 2006-07-20 |
| Find all providers in BURNS | ||||
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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.