ASHLEY J LARSEN PAC NPI 1144301458

NPI Information

NPI: 1144301458
Provider Name: ASHLEY J LARSEN, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2A DOCTORS DR
OCEAN SPRINGS, MS
ZIP 39564
Phone: (228) 872-1951
Get Directions

Ashley J Larsen, PAC is a medical physician assistant in Ocean Springs, MS with 19 years of experience. Ashley J Larsen, PAC NPI is 1144301458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

2A DOCTORS DR
OCEAN SPRINGS, MS
ZIP 39564-721
Phone: (228) 872-1951
Fax: (228) 875-9998

The NPI 1144301458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA-519	ALABAMA	No
2	363AS0400X	Physician Assistant	Surgical	200067	LOUISIANA	No
3	363AM0700X	Physician Assistant	Medical	PA00156	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1371866	MEDICAID	LOUISIANA
2	302I970729	OTHER	MISSISSIPPI	MEDICARE
3	06105593	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »