ISRAEL DANIEL LARGE MD
NPI 1609616259
Student in an Organized Health Care Education/Training Program in Grandview, MO

Q: What is Israel Large's NPI number?

The NPI number for Israel Large is 1609616259. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Q: What is Israel Large's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Israel Large was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since May 30, 2024

13013 FULLER AVE STE A, GRANDVIEW, MO 64030(915) 867-0499 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Jul 25, 2024 (2 updates tracked since 2024).

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About Israel Daniel Large Md NPPES

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

ISRAEL DANIEL LARGE MD (NPI 1609616259) is an individual student in an organized health care education/training program in Grandview, Missouri and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1609616259

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISRAEL DANIEL LARGECredential: MD

Location Address13013 FULLER AVE STE AGrandview, MO 64030-2687

Mailing Address1501 E Whitton Ave Apt 302Phoenix, AZ 85014-5180 · (915) 867-0499

Phone(915) 867-0499

Sole ProprietorNo

Enumeration DateMay 30, 2024

Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1609616259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

13013 FULLER AVE STE A, Grandview, MO 64030

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Other Providers at the Same Location NPPES 20

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

DR. JAWARIA SHOAIB CHATTA MD

Family Medicine