Lisa M Larkin, MD
Individual provider Active NPI Family Medicine Physician · Hurt, VA
NPI 1043471485 · NPPES record last updated Aug 13, 2013
Key facts
- NPI
- 1043471485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0116019087 (VA)
- Practice address
- 527 Pocket Rd
Hurt, VA 24563-2023 - Phone
- (434) 324-9150
- Fax
- (434) 324-8248
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110722000023 | VA | Practitioner - Hospice/Palliative Care |
7618145426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116019087 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Central Virginia Family Physicians, Inc. Laboratory | Past |
Accepting new patients | |
| Rehabilitation Associates of Central Virginia, Inc. | Past |
Accepting new patients |
Locations
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116019087 | VA | Yes |
Addresses
Primary practice location
527 Pocket Rd
Hurt, VA 24563-2023
Mailing address
527 Pocket Rd
Hurt, VA 24563-2023
Phone (434) 324-9150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043471485 | Medicaid | VA | |
| 541663754 | Other | CVFP, INC. |
Other providers in Hurt, VA
- Robert I Elliott
- Guardian Angel Transportation LLC
- Hana Care LLC
- Rita K Hunt
- Desarae Lateva Jefferson
- Zachary O'Dell Melling
- Miller & Wolf Family Dentistry
- David Drew Pociluyko
- Rita K Hunt Ritas House of Beauty
- Randall G Roelfs
All providers in Hurt, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.