Larissa A Haug (NPI# 1710473764, PAC ID# 3779835616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710473764 |
| PAC ID by PECOS | 3779835616 |
| Professional Enrollment ID | I20181004000726 |
| Full Name | Larissa A Haug |
| Organization Legal Name | COOPERSTOWN MEDICAL CENTER |
| Address |
1200 Roberts Ave Ne Cooperstown ND 58425-7101 |
| Phone Number | 7017972128 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698687689 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351306 | COOPERSTOWN MEDICAL CENTER |
| 351335 | JAMESTOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 7017972128 | COOPERSTOWN MEDICAL CENTER |
| Organization Legal Name | COOPERSTOWN MEDICAL CENTER |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Lampe | Family Medicine | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Steven Lee Barlow | Nurse Practitioner | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Debra L Middleton | Nurse Practitioner | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Amanda L Perry | Nurse Practitioner | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Street Address |
1200 ROBERTS AVE NE |
| City | COOPERSTOWN |
| State | ND |
| Zip | 58425-7101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Lampe | Family Medicine | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Steven Lee Barlow | Nurse Practitioner | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Debra L Middleton | Nurse Practitioner | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Amanda L Perry | Nurse Practitioner | Cooperstown Medical Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori J Ham | Chiropractic | Essential Chiropractic Pllc | 402 4th St Sw, Cooperstown, ND 58425-7541 |
| City | COOPERSTOWN |
| Zip Code | 58425 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COOPERSTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Larissa A Haug.
| 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.