Active NPI
Catherine Larsen, PA
- Physician Assistant
- Laurel, MD
National Provider Identifier
1952583619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C03647
- Practice address
- 575 Main St
Suite # 351
Laurel, MD 20707-4343 - Phone
- (301) 498-5990
- NPI assigned
- Dec 4, 2007
- Sex
- Female
- 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 | C03647 | MD | Primary |
Addresses
Primary practice location
575 Main St
Suite # 351
Laurel, MD 20707-4343
Mailing address
1053 Omar Dr
Crownsville, MD 21032-1233
Phone (443) 790-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C03647 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Remsen, MD PA | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1952583619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 OMAR DR",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "210321233",
"telephone_number": "443-790-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 MAIN ST",
"address_2": "SUITE # 351",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074343",
"telephone_number": "301-498-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "CATHERINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C03647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.