RICHARD LARSSON PA
NPI 1063412963
Physician Assistant - Medical in Franklinville, NY

Active since July 21, 2005PECOS Enrolled
12 S MAIN ST, FRANKLINVILLE, NY 14737(716) 676-2212(716) 676-2432 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Larsson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD LARSSON PA (NPI 1063412963) is an individual medical provider in Franklinville, New York, licensed in New York (003239) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063412963
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD LARSSONCredential: PA
Location Address12 S MAIN STFranklinville, NY 14737-1224
Mailing Address535 Main StOlean, NY 14760-1513 · (716) 372-0141 · Fax (716) 372-6421
Fax(716) 676-2432
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateFebruary 16, 2012
NPI 1063412963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 003239
12 S MAIN ST, Franklinville, NY 14737

Other Identifiers 3

Medicare UPINP01457NY
Medicaid02220780NY
Medicare ID-Type UnspecifiedBB9663NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Richard Larsson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
12 S MAIN ST
FRANKLINVILLE, NY 14737
Clinic/Center
12 S MAIN ST
FRANKLINVILLE, NY 14737
Family Medicine (Adult Medicine)
12 S MAIN ST
FRANKLINVILLE, NY 14737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Larsson's NPI number?

The NPI number for Richard Larsson is 1063412963. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Richard Larsson located?

Richard Larsson practices at 12 S Main St, Franklinville, NY 14737. The listed phone number is (716) 676-2212.

What is Richard Larsson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Richard Larsson enrolled in Medicare?

Yes. Richard Larsson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Larsson was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.