Larry Leavitt, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2589 Issued in MA

Practice address

369 South St
Pittsfield, MA 01201-6803

Phone

(518) 772-7710

Fax

(518) 772-7710

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Columbia Emergency Services, PC

  • Emergency Medicine Physician
  • Hudson, NY
  • NPI 1467401265
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1033327705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "518-772-7710",
            "fax_number": "518-772-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "518-772-7710",
            "fax_number": "518-772-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "3089",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0643",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "003089",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30336040",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca M. Lavelle, MA., CCC-SLP
• Amber Gail Lavendel
• Rahul Prionath Lazarus, MD
• Jon Leab
• Samantha L Leal, PA-C
• Julie M Leblanc, LSW
• Amy Lebrake
• Andrew B Lederman, MD
• Lee Psychology Group PLLC
• Anne Lee, AUD

• Medical Physician Assistant in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.