Individual provider Active NPI

Larissa C. Franchuk, PAC

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1548343247
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5625 Issued in AZ
Practice address
8406 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6659
Phone
(480) 998-1158
Fax
(480) 998-0123
NPI assigned
Oct 24, 2006
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5625 AZ Primary

Addresses

Primary practice location

8406 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6659

Mailing address

8406 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6659
Phone (480) 998-1158

Other identifiers 1

IdentifierTypeStateIssuer
1548343247OtherNPI

Other names 1

  • Larissa C. Olah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260121001657 FL Practitioner - Physician Assistant 2466410063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooks Management IncGroup PAC ID 2668633827, 3 clinicians

Practice addresses (Care Compare)

2919 26TH W St
Bradenton, FL 34205-3737
Phone (941) 755-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Management Inc CurrentSince Dec 14, 2025 Accepting new patients
Brooks Management PastSince Dec 14, 2025 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

2919 26th St W
Bradenton, FL 34205
Phone (941) 755-2255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1548343247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606659",
            "telephone_number": "480-998-1158",
            "fax_number": "480-998-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606659",
            "telephone_number": "480-998-1158",
            "fax_number": "480-998-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCHUK",
        "first_name": "LARISSA",
        "middle_name": "C.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548343247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "OLAH",
            "middle_name": "C.",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.