Roberto A. Larrivey, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

052983 Issued in GA

Practice address

790 Church St NE
Ste 140
Marietta, GA 30060-8902

Phone

(770) 425-7199

Fax

(678) 819-5538

NPI assigned

Jun 16, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1720083702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-255-2918",
            "fax_number": "404-255-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 140",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608902",
            "telephone_number": "770-425-7199",
            "fax_number": "678-819-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIVEY",
        "first_name": "ROBERTO",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "052983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956323850A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956323850B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Larbi, NP
• Jorg Richard Largent Jr., B.S. PHARM.
• Danielle Canise Larkins
• Cordine Larmond Smith, BSN, RN
• Melody Elizabeth Larochelle, LMT
• Patricia Linnea Larsen
• Savannah Lashley
• George F. Lasker, MD/PHD
• Charles Coy Lassiter, MD
• Kimberly B Lassiter, P.T.

• Otolaryngology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.