Lara Karina Gannon, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1101 Veterans Drive
VA Medical Center
Lexington, KY 40502-2236

Phone

(859) 324-5941

NPI assigned

May 10, 2006

Last updated

Aug 15, 2013By 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 KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Steel Valley Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Clairton, PA
  • NPI 1215002845
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1558310086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PATRICK HENRY CT",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221788",
            "telephone_number": "859-324-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VETERANS DRIVE",
            "address_2": "VA MEDICAL CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022236",
            "telephone_number": "859-324-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "LARA",
        "middle_name": "KARINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen Gammon, M.D.
• Matthew Peter Gandolfo, DMD
• Halemane Suryanarayana Ganesh, MD
• Suhas Gangadhara, M.D.
• Noah Ryan Gann, PHARMD
• Stanislava Gantcheva, PA
• Steven Kent Ganzel, D.O.
• Carol Yuan Gao
• Yuan Zheng Gao, M.D.
• Wendy Garabedian, M.D.

• Surgical Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.