NPIMap

Individual provider Active NPI

Larry Shranatan, DO

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1245343342
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H58258 Issued in MD
Practice address
12916 Conamar Drive
Suite 204
Hagerstown, MD 21742
Phone
(301) 791-0600
Fax
(301) 791-0860
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H58258 MD Primary

Addresses

Primary practice location

12916 Conamar Drive
Suite 204
Hagerstown, MD 21742

Mailing address

12916 Conamar Drive
Suite 204
Hagerstown, MD 21742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000215 MD Practitioner - Family Practice 9830282078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, shared by 7 NPIs, 764 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

12916 Conamar Dr
Suite 204
Hagerstown, MD 21742-2773
Phone (301) 791-0600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H58258MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Family Medicine CurrentSince Mar 6, 2006 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Mar 6, 2006 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Feb 4, 2022 Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

12916 Conamar Dr
Ste 204
Hagerstown, MD 21742
Phone (301) 791-0600

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500

Interoperability endpoints

  • Direct secure messaging: lshranatan6901@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1245343342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12916 CONAMAR DRIVE",
            "address_2": "SUITE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12916 CONAMAR DRIVE",
            "address_2": "SUITE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-791-0600",
            "fax_number": "301-791-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRANATAN",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H58258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.