Melissa R Larzo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21186 Issued in WV

Practice address

608 Cheat Rd
Morgantown, WV 26508-4210

Phone

(304) 594-1313

Fax

(304) 594-2408

NPI assigned

Nov 13, 2007

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1144400649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071127",
            "telephone_number": "304-598-4032",
            "fax_number": "304-598-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084210",
            "telephone_number": "304-594-1313",
            "fax_number": "304-594-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARZO",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "21186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005542000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Larijani
• Emily Blair Larkin, MD
• Kevin T Larkin, PH.D.
• Andrea Lyn Larson, PHARM D
• Heidi L Larue, CFNP
• Raven Lash
• Tiana Jacquelin Lasporgara, MSW, LGSW
• Allison Marie Lastinger, M.D.
• Ben Lasure, M.D.
• Tariq Latif, M.D.

• Pediatrics Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.