Active NPI
Larry Alton Washburn, PAC
- Physician Assistant
- Williamsburg, VA
National Provider Identifier
1851365332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840677
- Practice address
- 5335 Discovery Park Blvd Ste B
Williamsburg, VA 23188-2696 - Phone
- (757) 253-0603
- Fax
- (757) 873-3239
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840677 | VA | Primary |
Addresses
Primary practice location
5335 Discovery Park Blvd Ste B
Williamsburg, VA 23188-2696
Mailing address
730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
Phone (578) 731-5547
Other practice location 1
730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
Phone (757) 873-1554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | larry.washburn@hrosm.cernerdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5335 Discovery Park Blvd
Suite B
Williamsburg, VA 23188-2696
Phone (757) 253-0603
Hospital & facility affiliations
- Sentara Williamsburg Regional Medical Center
- Riverside Regional Medical Center
- Riverside Doctors' Hospital of Williamsburg
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840677 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| Hampton Roads Orthopaedic & Sports Medicine LLC | Past | Accepting new patients |
Locations
4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124
4374 New Town Ave
Ste 100
Williamsburg, VA 23188
Phone (757) 259-1900
Interoperability endpoints
- lwashburn@hrosm.gwaydirect.com
- larry.washburn@hrosm.cernerdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Newport News, VA
- NPI 1790719300
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1275893307
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1851365332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 THIMBLE SHOALS BLVD STE 130",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064562",
"telephone_number": "578-731-5547",
"fax_number": "757-873-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 DISCOVERY PARK BLVD STE B",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882696",
"telephone_number": "757-253-0603",
"fax_number": "757-873-3239"
}
],
"practiceLocations": [
{
"address_1": "730 Thimble Shoals Blvd Ste 130",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064562",
"country_code": "US",
"telephone_number": "757-873-1554",
"fax_number": "757-873-3239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHBURN",
"first_name": "LARRY",
"middle_name": "ALTON",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840677",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "larry.washburn@hrosm.cernerdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5335 Discovery Park Blvd Ste B",
"city": "Williamsburg",
"state": "VA",
"country_code": "US",
"postal_code": "231882696",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.