Larry V Mcdonald (NPI# 1568482453, PAC ID# 6103867924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1568482453 |
| PAC ID by PECOS | 6103867924 |
| Professional Enrollment ID | I20050520000971 |
| Full Name | Larry V Mcdonald |
| Organization Legal Name | LAKEMARY CENTER INC |
| Address |
100 Lakemary Dr Paola KS 66071-1855 |
| Phone Number | 9135337280 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2264614734 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170109 | MIAMI COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Lakemary Dr, Paola, KS 66071-1855 | 9135337280 | LAKEMARY CENTER INC |
| Organization Legal Name | LAKEMARY CENTER INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Hoyt | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| Amber S Rush | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| Cecily E Blackman | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| James Edgar Rauch | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| Street Address |
100 LAKEMARY DR |
| City | PAOLA |
| State | KS |
| Zip | 66071-1855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Hoyt | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| Amber S Rush | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| Cecily E Blackman | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| James Edgar Rauch | Clinical Social Worker | Lakemary Center Inc | 100 Lakemary Dr, Paola, KS 66071-1855 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeff A Wilson | Chiropractic | 820 /2 N Pearl, Paola, KS 66071-1138 | |
| Sherry D Moon | Chiropractic | Jeff Wilson Chiropractic Inc | 820 /2 N Pearl, Paola, KS 66071-1138 |
| Eric D Lovig | Chiropractic | 302 N Hospital Dr, Paola, KS 66071-1304 | |
| Robert A Christensen | Chiropractic | 302 N Hospital Dr, Paola, KS 66071-1304 | |
| Matthew B Sherman | Physician Assistant | Miami County Medical Center Inc | 2100 Baptiste Dr, Paola, KS 66071-1314 |
| Christopher A Bagby | Orthopedic Surgery | Olathe Health Physicians Inc | 2102 Baptiste Dr E, Oh Jco and Sports Med Paola, Paola, KS 66071-1314 |
| Aaron T Watters | Family Medicine | Miami County Medical Center Inc | 2100 Baptiste Dr, Paola, KS 66071-1314 |
| Georgina L Green | Family Medicine | Miami County Medical Center Inc | 2100 Baptiste Dr, Paola, KS 66071-1314 |
| Alberto E Montoya | Emergency Medicine | Miami County Medical Center Inc | 2100 Baptiste Dr, Paola, KS 66071-1314 |
| Peter N Scaletty | Emergency Medicine | Miami County Medical Center Inc | 2100 Baptiste Dr, Paola, KS 66071-1314 |
| Find all physicians in zip 66071 | |||
| City | PAOLA |
| Zip Code | 66071 |
| Specialty | PSYCHIATRY |
| City + Specialty | PAOLA + PSYCHIATRY |
Please comment or provide details below to improve the information on Larry V Mcdonald.
| 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.