MR. LARRY ALLEN ANDERSON (NPI# 1841390036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841390036 |
| Entity Type | Individual |
| Full Name | MR. LARRY ALLEN ANDERSON |
| Credential | PA-C |
| Practice Address |
950 Campbell Avenue West Haven CT 06516 |
| Mailing Address |
28 Spinning Wheel Road Monroe CT 06468 |
| Practice Telephone | 2039325711 |
| Practice Fax Number | 2039373403 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000059 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336436799 | Larry James Anderson | Internal Medicine | 2076 Continental Dr Ne, Atlanta, GA 30345-3400 | 2011-07-06 |
| 1891090643 | Larry Anderson | Counselor | 3455 W Craig Rd, Unit C, North Las Vegas, NV 89032-5118 | 2011-01-25 |
| 1104150879 | Larry L Anderson | Counselor | 1418 Shafter Ave, Odessa, TX 79761-3131 | 2009-09-28 |
| 1124156880 | Larry Gene Anderson | Chiropractor | 7 Melgrove Ln, Ste 101, Hannibal, MO 63401-2275 | 2007-03-02 |
| 1356485924 | Larry L Anderson | Psychologist | 2124 Dupont Ave S Ste 202, Minneapolis, MN 55405-2700 | 2007-02-16 |
| 1699825190 | Larry Douglas Anderson | Dentist | 11736 Impressive View Drive, Deadwood, SD 57732-0154 | 2007-01-10 |
| 1326156530 | Larry Anderson | Massage Therapist | 20015 Highway 99, Ste A, Lynnwood, WA 98036 | 2006-08-28 |
| 1144267766 | Larry D Anderson Jr. | Internal Medicine | 2201 Inwood Rd, Dallas, TX 75235 | 2006-06-01 |
| 1790737401 | Larry G Anderson | Orthopaedic Surgery | 503 E Parker Rd, Morganton, NC 28655-5104 | 2006-05-17 |
| 1184802092 | Larry Anderson | Technician, Other | 500 Highway 51 S, Ripley, TN 38063-4583 | 2008-02-01 |
| Street Address |
950 CAMPBELL AVENUE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265200 | Jennifer E Napoleone | Nurse Practitioner | 950 Campbell Avenue, Va Healthcare System B1/118, West Haven, CT 06516 | 2005-06-17 |
| 1801440342 | Adrienne Julia Jaeger | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2019-08-01 |
| 1558898452 | Jadry Gruen | Internal Medicine | 950 Campbell Avenue, Bldg 1, 5th Floor, West Haven, CT 06516-0651 | 2017-05-23 |
| 1841605581 | West Haven Va Healthcare System | General Acute Care Hospital | 950 Campbell Avenue, West Haven, CT 06516 | 2014-06-20 |
| 1174934426 | Karen Le | Speech-Language Pathologist | 950 Campbell Avenue, Va Connecticut Healthcare System, West Haven, CT 06516 | 2014-05-08 |
| 1992085823 | Emily Ann Melin | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2011-08-23 |
| 1073827358 | Hiuying Edith Zhou | Audiologist | 950 Campbell Avenue, Audiology and Speech Pathology (126), West Haven, CT 06516 | 2010-07-29 |
| 1437328135 | Yvonne G Arthur Streete | Registered Nurse | 950 Campbell Avenue, West Haven, CT 06516 | 2008-02-27 |
| 1306963012 | Natalie Frances Holt | Anesthesiology | 950 Campbell Avenue, Va Connecticut Healthcare System - West Haven Campus, West Haven, CT 06516 | 2007-03-26 |
| 1184799413 | Donna Marie Tice | Nurse Practitioner | 950 Campbell Avenue, Veteran's Administration Medical Center, West Haven, CT 06516 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
| 1043467855 | Courtney G Moller | Physician Assistant | 950 Campbell Ave, Gec240, West Haven, CT 06516-2770 | 2008-08-22 |
| 1255423232 | Joanne Marie Churak | Physician Assistant | 950 Campbell Ave, Renal Section, 111f, West Haven, CT 06516 | 2006-09-28 |
| 1134225485 | Karl Peter Larson | Physician Assistant | 950 Campbell Ave, Endoscopy Suite, West Haven, CT 06516-2770 | 2006-09-15 |
| 1871605204 | Donald Francis Dailey | Physician Assistant | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-08-31 |
| 1760408280 | Steven Jay Farber | Physician Assistant | 950 Campbell Ave, Mail Stop 111i, West Haven, CT 06516-2770 | 2006-07-15 |
| 1205881877 | Elizabeth S. Auld | Physician Assistant | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| 1548733140 | Jessie T Mangs | Physician Assistant | 481 Bantam Rd, Litchfield, CT 06759-3202 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MR. LARRY ALLEN ANDERSON.
| 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.