DR. LARA WALSH MASSIE (NPI# 1912264185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912264185 |
| Entity Type | Individual |
| Full Name | DR. LARA WALSH MASSIE |
| Credential | MD |
| Practice Address |
2580 Haymaker Rd Ste 106 Monroeville PA 15146-3500 |
| Practice Telephone | 4128587766 |
| Mailing Telephone | 4128587766 |
| Mailing Fax Number | 4128587769 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD470152 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14673844 | 01 | |
| PA | 103773585 | 05 |
| Street Address |
2580 HAYMAKER RD STE 106 |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798835 | Jorge Luis Acevedo | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2006-02-13 |
| 1285109389 | Rhiannon L Lewis | Physician Assistant | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2018-10-04 |
| 1316465792 | Kayla Averell Grom | Physician Assistant | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2017-09-06 |
| 1780113878 | Allen Rakers | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2017-06-12 |
| 1518495233 | Jocelyn Carmella Dominick | Physician Assistant | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2017-05-25 |
| 1932656584 | Lindsay A Starkey | Physician Assistant | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2016-09-01 |
| 1891154472 | Elizabeth Kuriakose I | Physician Assistant | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2016-02-11 |
| 1720413578 | Megan N Sauter | Physician Assistant | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2013-09-12 |
| 1114269545 | Justin Richard Davanzo | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2013-03-24 |
| 1134477037 | Raj K Nangunoori | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798835 | Jorge Luis Acevedo | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2006-02-13 |
| 1780113878 | Allen Rakers | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2017-06-12 |
| 1114269545 | Justin Richard Davanzo | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2013-03-24 |
| 1134477037 | Raj K Nangunoori | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2012-08-27 |
| 1841563186 | Abraham Ernest Sabersky | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2012-02-16 |
| 1013233071 | Kevin Michael Walsh | Neurological Surgery | 2580 Haymaker Rd, Suite 106, Monroeville, PA 15146-3518 | 2010-04-15 |
| 1023268919 | Brandon G Chew | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2008-09-26 |
| 1073622346 | Akash D Agarwal | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2006-08-30 |
| 1740230317 | Mark Vaughn Larkins | Neurological Surgery | 2580 Haymaker Rd Ste 106, Monroeville, PA 15146-3500 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
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| City | MONROEVILLE |
| Zip Code | 15146 |
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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.