Active NPI
Paula K Larsen, MD
- Internal Medicine Physician
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64336274 | Medicaid | KY | |
| 2056019 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077269 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| Ashland Hospital Corporation | Current | 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.
-
- Family Medicine Physician
- Ashland, KY
- NPI 1659328250
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- Community/Retail Pharmacy
- Ironton, OH
- NPI 1053748913
-
- Rural Health Clinic/Center
- Jackson, OH
- NPI 1356434773
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.