Active NPI
Larisa Paul, DO
- Hospitalist Physician
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS14105
- Practice address
- 5350 Spring Hill Dr
Spring Hill, FL 34606-4562 - Phone
- (352) 688-8116
- Fax
- (352) 686-9477
- NPI assigned
- May 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS14105 | FL | |
| Hospitalist Physician | 208M00000X | OS14105 | FL | Primary |
Addresses
Primary practice location
5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Mailing address
14690 Spring Hill Dr Ste 305
Spring Hill, FL 34609-8102
Phone (352) 277-5348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS14105 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160921002139 | FL | Practitioner - Internal Medicine | 0648562686 | Reassigns benefits to 2 organizations |
| I20210120002554 | TN | Practitioner - Hospitalist | 0648562686 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14105 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee HM, PLLC | Hospitalist | Current | Accepting new patients |
| Express Docs, LLC | Internal Medicine | Current | Accepting new patients |
| Express Docs, LLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Access Healthcare of Tampa Bay LLC | Internal Medicine | Current | Accepting new patients |
| Expressdocs2Llc | Past | Accepting new patients |
Locations
14530 S Military Trl
Delray Beach, FL 33484
Phone (561) 381-0260
14530 S Military Trl
Ste A1
Delray Beach, FL 33484
Phone (561) 381-0260
14530 S Military Trl
#A14
Delray Beach, FL 33484
Phone (561) 381-0260
5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116
14690 Spring Hill Dr
Ste 100
Spring Hill, FL 34609
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1932592318
FL, Internal Medicine
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, TN
-
- Urgent Care Clinic/Center
- Delray Beach, FL
- NPI 1285497743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1972863371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR STE 305",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-277-5348",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064562",
"telephone_number": "352-688-8116",
"fax_number": "352-686-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "LARISA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS14105",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS14105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OS14105",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.