Craig Lariscy, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME-0077072 Issued in FL

Practice address

1125 Bartow Rd
Suite 101
Lakeland, FL 33801-5852

Phone

(863) 683-7171

Fax

(863) 687-0742

NPI assigned

Mar 8, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of South Alabama College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeland Pathologists, PAGroup PAC ID 3274428982, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: craig.lariscy.1@18417.direct.athenahealth.com

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.

• Lakeland Pathologists, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakeland, FL
  • NPI 1649220872
  Medicare reassignment Care Compare group NPD
• Micro Path Laboratories Inc

  • Clinical Medical Laboratory
  • Lakeland, FL
  • NPI 1932159118
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartow Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Bartow, FL
  • NPI 1558734095
  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1225005226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BARTOW RD",
            "address_2": "SUITE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015852",
            "telephone_number": "863-683-7171",
            "fax_number": "863-687-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BARTOW RD",
            "address_2": "SUITE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015852",
            "telephone_number": "863-683-7171",
            "fax_number": "863-687-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARISCY",
        "first_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME-0077072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257612100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Clayton Lanham, DDS
• Daydre Marlene Lanier, APRN
• Lantana Support Services LLC
• Kelly Laponius
• Nathacha Del Valle Larez
• Gabriela Larrea
• Cindy D Larsen, PMHNP-BC
• Shannen J Lasane
• Deborah Lasebny, APRN,C
• Alanna Lasseter

• Anatomic Pathology & Clinical Pathology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.