Erik A Larsen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001633 Issued in VA

Practice address

1850 Town Center Parkway
Suite 400
Reston, VA 20190

Phone

(703) 810-5202

Fax

(703) 787-9664

NPI assigned

Jul 21, 2006

Last updated

Apr 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commonwealth Orthopaedics & Rehabilitation, PC

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1295829893
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1053332890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60318",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600318",
            "telephone_number": "703-383-6469",
            "fax_number": "703-385-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PARKWAY",
            "address_2": "SUITE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-810-5202",
            "fax_number": "703-787-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ERIK",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00071404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine M Lancaster, DNP, FNP-BC
• Lanctot and Johnson Dental Associates PC
• Bernadette M Landolf, PH.D.
• Punyawat Laohakanjanasiri, DMD
• Laura J Larios, PA
• Christina M Larson, PH.D.
• Steven Douglas Larson, M.D.
• Todd Steven Larson, M.D.
• Claire Louise Laurenza, MSN, APRN,BC
• Polin Lay, OD

• Physician Assistant in Reston, VA
• Providers in Reston, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.