Stephen Larose, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

864 Issued in MA

Practice address

Westboro State Hospital
288 Lyman St
Westboro, MA 01581-0288

Phone

(508) 616-2339

NPI assigned

Jul 21, 2006

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• The Commonwealth of Massachusetts

  dba Quincy Mental Health Center

  • Psychiatric Hospital
  • Quincy, MA
  • NPI 1407884059
  NPD (past)
• The Commonwealth of Massachusetts

  dba Westborough State Hospital

  • Psychiatric Hospital
  • Westborough, MA
  • NPI 1740358878
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1629099270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTBORO STATE HOSPITAL",
            "address_2": "288 LYMAN ST",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "015810288",
            "telephone_number": "508-616-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTBORO STATE HOSPITAL",
            "address_2": "288 LYMAN ST",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "015810288",
            "telephone_number": "508-616-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Group
• Daniel Joseph Fanselow, D.C.
• Jonathan Rothman MD (Psychiatry & Counseling Associates)
• John Michael Kane, COTA,L
• Sandra V Kristiansen, M.D.
• Deborah P Lebeaux, LICSW
• Nadene Deborah Moll, PSYD
• Anthony Gabor Moncton, DC
• Robin A Montague, LICSW
• Kiritkumar Patel, M.D.

• Medical Physician Assistant in Westboro, MA
• Providers in Westboro, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.