Active NPI
Larissa Marie Gasparato Clayton, D.O.
- Emergency Medicine Physician
- Camphill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS015268
- Practice address
- 503 N 21St St
Camphill, PA 17401-3349 - Phone
- (717) 972-4300
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
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.
-
- Emergency Medicine Physician
- Windber, PA
- NPI 1790999837
Emergency Medicine, PA
-
- Obstetrics & Gynecology Physician
- Roaring Spring, PA
- NPI 1306236609
Emergency Medicine, PA
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Windber, PA
- NPI 1235778135
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- Community Based Hospice Care Agency
- Windber, PA
- NPI 1922151380
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1104872936
-
- Surgery Physician
- Windber, PA
- NPI 1376543942
-
- Obstetrics & Gynecology Physician
- Windber, PA
- NPI 1689620411
-
- Home Health Agency
- Windber, PA
- NPI 1972597854
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1144636267
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
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 Inc
Practice addresses (Care Compare)
600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000
Hospital & facility affiliations
- Chan Soon- Shiong Medical Center at Windber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111024000393 | PA | Practitioner - Emergency Medicine | 5395918148 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT012563 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Pennsylvania Pathology, P.C. | Current | Accepting new patients | |
| Nason Physician Practices LLC | Emergency Medicine | Current | Accepting new patients |
| Nason Physician Practices LLC | Current | Accepting new patients | |
| Windber Hospital, Inc | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Windber Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Miners Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Nason Physician Practices LLC | Emergency Medicine | Current | Accepting new patients |
| Central PA Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Windber Hospital, Inc. | 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
- lclayton37364@direct.conemaugh.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT012563 | PA | |
| Emergency Medicine Physician | 207P00000X | OS015268 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry- Dr. Larissa Marie Gasparato
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2012.
{
"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 Camphill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.