Larry R Carpenter (NPI# 1912982901, PAC ID# 6608928601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912982901 |
| PAC ID by PECOS | 6608928601 |
| Professional Enrollment ID | I20100310000492 |
| Full Name | Larry R Carpenter |
| Organization Legal Name | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Address |
550 E Broadway Reardan Health Clinic Reardon WA 99029-0629 |
| Phone Number | 5097962737 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971591199 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501305 | LINCOLN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 3rd St, Davenport, WA 99122-5008 | 5097257501 | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 | 5097962737 | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Organization Legal Name | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raaj Kiran Ruparel | General Surgery | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-5008 |
| Donella S Young | Family Medicine | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Steven W Beckstrom | Certified Registered Nurse Anesthetist (crna) | Lincoln County Hospital District 3 | 10 Nichols St, Acute Care, Davenport, WA 99122-9729 |
| Ralph A Monteagudo | General Practice | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-9731 |
| Virginia Marie Hawthorne | Nurse Practitioner | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Rolf K Panke | Family Medicine | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Frederick J Reed | Family Medicine | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Lynn A Kohlmeier | Endocrinology | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Tyler W Zaugg | Physician Assistant | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Stacia J Soliday | Nurse Practitioner | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Street Address |
550 E BROADWAY REARDAN HEALTH CLINIC |
| City | REARDON |
| State | WA |
| Zip | 99029-0629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donella S Young | Family Medicine | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Virginia Marie Hawthorne | Nurse Practitioner | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Frederick J Reed | Family Medicine | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| City | REARDON |
| Zip Code | 99029 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | REARDON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Larry R Carpenter.
| 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.