Individual provider Active NPI

Paula K Larsen, MD

  • Internal Medicine Physician
  • Ashland, KY
National Provider Identifier
1003852955
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33627 Issued in KY
Practice address
1000 Ashland Dr Ste G1
Ashland, KY 41101-7084
Phone
(606) 408-4900
Fax
(606) 408-6643
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35077269 OH
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 33627 KY
Internal Medicine Physician 207R00000X 33627 KY Primary

Addresses

Primary practice location

1000 Ashland Dr Ste G1
Ashland, KY 41101-7084

Mailing address

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-6200

Other identifiers 2

IdentifierTypeStateIssuer
64336274MedicaidKY
2056019MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address plarsen1210@direct.kdhealth.us Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077269OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation CurrentSince Dec 9, 2014 Accepting new patients
Ashland Hospital Corporation Internal Medicine CurrentSince Dec 9, 2014 Accepting new patients
Ashland Hospital Corporation CurrentSince Dec 9, 2014 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2301 Lexington Ave
Ashland, KY 41101
Phone (606) 324-1188

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2025 Carter Ave
Ashland, KY 41101
Phone (606) 325-1894

2245 Winchester Ave
Ste 5
Ashland, KY 41101
Phone (606) 327-4900

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

1107 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 834-0125

105A State Highway 1947
Grayson, KY 41143
Phone (606) 474-7892

912 Park Ave
Ironton, OH 45638
Phone (740) 532-1100

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1003852955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012843",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR STE G1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017084",
            "telephone_number": "606-408-4900",
            "fax_number": "606-408-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "PAULA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077269",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "KY",
            "license": "33627",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64336274",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056019",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plarsen1210@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "2301 Lexington Ave",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.