Active NPI
Paul E Larose, M.D.
- Obstetrics & Gynecology Physician
- Pensacola, FL
National Provider Identifier
1245210046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 40352
- Practice address
- 525 Brent LN
Pensacola, FL 32503-2003 - Phone
- (850) 471-2221
- Fax
- (850) 471-2232
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 40352 | FL | Primary |
Addresses
Primary practice location
525 Brent LN
Pensacola, FL 32503-2003
Mailing address
PO Box 18868
Pensacola, FL 32523-8868
Phone (850) 994-5660
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z113 | Other | FL | VISTA |
| 067040500 | Medicaid | FL | |
| Z113 | Other | FL | HEALTHEASE |
| 434705599 | Other | FL | TRICARE |
| Z113 | Other | FL | HEALTHY KIDS |
| Z113 | Other | FL | HEALTH OPTIONS |
| 160055559 | Other | FL | RAILROAD MEDICARE |
| Z113 | Other | FL | WELLCARE |
| 59167048 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| 17523 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 40352 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Hospital Primary Care LLC | Past | Accepting new patients | |
| First Physicians Group PA | Past | Accepting new patients | |
| Medical Professional Agency Inc | Past | Accepting new patients |
Interoperability endpoints
- paul.larose.1@24790.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1306000344
-
- Family Medicine Physician
- Pace, FL
- NPI 1881674257
-
- Adult Medicine Physician
- Pensacola, FL
- NPI 1427174762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1245210046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18868",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325238868",
"telephone_number": "850-994-5660",
"fax_number": "850-994-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BRENT LN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032003",
"telephone_number": "850-471-2221",
"fax_number": "850-471-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "PAUL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 40352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "Z113",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067040500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "Z113",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "434705599",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY KIDS",
"identifier": "Z113",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH OPTIONS",
"identifier": "Z113",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160055559",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "Z113",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AL",
"identifier": "59167048",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "17523",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.