Amy Elizabeth Larson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004119 Issued in MD

Practice address

130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015

Phone

(410) 535-1108

Fax

(410) 535-4088

NPI assigned

Nov 25, 2009

Last updated

Mar 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.larson.1@11679.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Interventional Pain Medicine Physician
  • Annapolis, MD
  • NPI 1861418220

  DC, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Durable Medical Equipment & Medical Supplies
  • Silver Spring, MD
  • NPI 1376355438
  NPD
• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Clinical Medical Laboratory
  • Owings Mills, MD
  • NPI 1316315740
  NPD (past)
• Physical Medicine & Pain Management Associates, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Annapolis, MD
  • NPI 1558359661
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1417285784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-1108",
            "fax_number": "410-535-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-1108",
            "fax_number": "410-535-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Lambert, ADT
• Melissa Hampton Langham, LMSW
• Michaela Marie Langley
• Caitlin Langreich, LCPC
• Careshia Larmond
• Caroline Marie Latiolais
• Lindsay Marie Lavato, DPT
• Carol Armistead Lavoie, MS, OTR/L
• Jacqueline Leclercq, CRNP
• Jaeok Lucas Lee, ACUPUNCTURIST

• Physician Assistant in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.