Larry John Kachik, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD023722E Issued in PA

Practice address

135 Kennedy Rd
Clarksburg, PA 15725-8701

Phone

(412) 780-1040

NPI assigned

May 10, 2008

Last updated

Nov 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Doctor of Medicine

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.

• Latrobe Area Hospital, Inc.

  dba Excela Square Latrobe Family Medicine

  • Family Medicine Physician
  • Latrobe, PA
  • NPI 1558875716
  NPD (past)
• Westmoreland Emergency Medicine Specialists, PC

  • Emergency Medicine Physician
  • Greensburg, PA
  • NPI 1487676334
  NPD (past)
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  NPD (past)

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1760659635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KENNEDY RD",
            "city": "CLARKSBURG",
            "state": "PA",
            "postal_code": "157258701",
            "telephone_number": "412-780-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KENNEDY RD",
            "city": "CLARKSBURG",
            "state": "PA",
            "postal_code": "157258701",
            "telephone_number": "412-780-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHIK",
        "first_name": "LARRY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD023722E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bendis
• Megan Ashley Cornman
• Kaylee Marie Metzler, RN, IBCLC
• Shaleigh Krystina Pennington, CCHW
• Primary Health Network
• Emily Jane Shaffer
• Alaina Stango, RDH, PHDHP

• Family Medicine Physician in Clarksburg, PA
• Providers in Clarksburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.