Individual provider Active NPI

Larisa Paul, DO

  • Hospitalist Physician
  • Spring Hill, FL
National Provider Identifier
1972863371
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS14105 Issued in FL
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

Updated by the provider on Dec 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OS14105OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OS14105FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
Express Docs, LLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Express Docs, LLC CurrentSince Aug 1, 2016 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 6, 2024 Accepting new patients
Access Healthcare of Tampa Bay LLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Expressdocs2Llc PastSince Feb 11, 2024 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.

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

Verify at the official NPI Registry.