NPIMap

Individual provider Active NPI

Larissa Marie Gasparato Clayton, D.O.

  • Emergency Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1982869327
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS015268 Issued in PA
Practice address
503 N 21St St
Camphill, PA 17401-3349
Phone
(717) 972-4300
NPI assigned
Jul 24, 2008
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT012563 PA
Emergency Medicine Physician 207P00000X OS015268 PA Primary

Addresses

Primary practice location

503 N 21St St
Camphill, PA 17401-3349

Mailing address

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 972-4300

Other names 1

  • Dr. Larissa Marie Gasparato Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111024000393 PA Practitioner - Emergency Medicine 5395918148 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians

Practice addresses (Care Compare)

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015268PAMDEmergency Medicine Physician
OT012563PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2019 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2019 Accepting new patients
Windber Hospital, Inc CurrentSince Nov 1, 2020 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Nason Physician Practices LLC CurrentSince Jan 1, 2019 Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Windber Hospital, Inc. Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Central PA Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: lclayton37364@direct.conemaugh.org

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1982869327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-972-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMPHILL",
            "state": "PA",
            "postal_code": "174013349",
            "telephone_number": "717-972-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "LARISSA",
        "middle_name": "MARIE GASPARATO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT012563",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS015268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "GASPARATO",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.