Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | D0058327 | MD |
N | 207L00000X | Anesthesiologist | MD434779 | PA |
N | 2081P2900X | Pain Medicine | D0058327 | MD |
NPI | 1043318587 |
---|---|
Provider Name | Thomas M Larkin |
First Address | York, PA 17402-9001 |
Second Address | Hagerstown, MD 21740-5471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 10/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
412809500 | (05) | MD |
I33771 | (02) | MD |
P00419972 | RR MEDICARE (01) | |
P00670443 | RR MEDICARE (01) | PA |
W2660016 | BLUE SHIELD REGIONAL (01) | MD |