Larry Laurich

Primary specialty

PodiatristTaxonomy code 213E00000X

License

810 Issued in TX

Practice address

618 N University Dr
Nacogdoches, TX 75961-4617

Phone

(936) 569-7460

Fax

(936) 560-5840

NPI assigned

Sep 15, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Illinois Medical College, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nacogdoches Podiatry PLLCGroup PAC ID 4880903558, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nacogdoches Podiatry PLLC

  • Podiatrist
  • Nacogdoches, TX
  • NPI 1982085445
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1255326286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614617",
            "telephone_number": "936-569-7460",
            "fax_number": "936-560-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614617",
            "telephone_number": "936-569-7460",
            "fax_number": "936-560-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURICH",
        "first_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-10-21",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110223801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159733801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patti Langston, RPH
• Stephen Lantis, LPC
• Daniel Anthony Latourelle, ATC, LAT
• Aubrey Elyse Laurent
• Chad Laurich, DPM
• Katie Lauridsen, ATC, LAT
• David M. Lawson II, PH.D.
• McKenzie Ann Leblanc
• Janice Patrick Ledet, M.D.
• Ted Willis Ledet, M.D.

• Podiatrist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.