Lance B Large (NPI# 1750362554, PAC ID# 0143110841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750362554 |
| PAC ID by PECOS | 0143110841 |
| Professional Enrollment ID | I20040317000524 |
| Full Name | Lance B Large |
| Organization Legal Name | STAYTON FAMILY PRACTICE INC |
| Address |
41 E Ash St Lebanon OR 97355-3317 |
| Phone Number | 5037692641 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709922230 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380056 | SANTIAM HOSPITAL |
| 381323 | SAMARITAN LEBANON COMMUNITY HOSPITAL |
| 380051 | SALEM HOSPITAL |
| 380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 41 E Ash St, Lebanon, OR 97355-3317 | 5037692641 | STAYTON FAMILY PRACTICE INC |
| 1375 N 10th Ave, Stayton, OR 97383-2037 | 5037692641 | STAYTON FAMILY PRACTICE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 5% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 13% |
| Organization Legal Name | STAYTON FAMILY PRACTICE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Muller | Nurse Practitioner | Stayton Family Practice Inc | 41 E Ash St, Lebanon, OR 97355-3317 |
| Monica L Byers | Nurse Practitioner | Stayton Family Practice Inc | 1375 N 10th Ave, Stayton, OR 97383-2037 |
| Street Address |
41 E ASH ST |
| City | LEBANON |
| State | OR |
| Zip | 97355-3317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Muller | Nurse Practitioner | Stayton Family Practice Inc | 41 E Ash St, Lebanon, OR 97355-3317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Springer | Clinical Social Worker | 1105 S Airport Rd, Lebanon, OR 97355-1211 | |
| Michael W Stoner | Optometry | 350 S, 8th, Lebanon, OR 97355-2242 | |
| Kyle Leland Horner | Dermatology | 2500 S Main Rd, Lebanon, OR 97355-2336 | |
| Roger Munk | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Dennis Pearson | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Caitlin Squires | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Laura E Sisson | Clinical Psychologist | Mid-valley Healthcare Inc | 100 Mullins Dr, Lebanon, OR 97355-2868 |
| Richard B Halbur | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Richard C Evans | Family Medicine | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Christopher M Wallis | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Find all physicians in zip 97355 | |||
| City | LEBANON |
| Zip Code | 97355 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEBANON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lance B Large.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.