Larisa Kachowski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LARISA KACHOWSKI, MD

Doing business as

Larisa Kachowski Family Medicine, LLC

Practice address

1726 W 42D Ave
Pine Bluff, AR 71603-7160

Phone

(501) 502-4071

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Larisa Kachowski, MDNPI 1023214574

Title

Owner

Phone

(501) 502-4071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Larisa Kachowski Family Medicine, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larisa Kachowski, MD

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1023214574
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1376001172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STRATFORD LN",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037527",
            "telephone_number": "501-502-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 W 42D AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037160",
            "telephone_number": "501-502-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA KACHOWSKI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "KACHOWSKI",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-502-4071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1023214574",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lkachowskimdfamilymedicine@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Letter",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Care plan",
            "address_1": "1726 W 42d Ave",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716037160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Larisa Kachowski Family Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Larisa Kachowski Family Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Lambert
• Kenneth James Lambert, MD
• Amanda Laminack
• Bessie Lancelin, LCSW, CCDP
• Dorothy Jean Langel, APN
• Aerielle Lawrence, PLMSW
• Lynette Lawrence
• Heather N Leblanc, MD
• India Ledbetter
• Lee a Forestiere MD PA

• Family Medicine Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.