Mrs. Larisa A Gillern, PHYSICIAN ASSISTANT
Physician Assistant, Surgical in Greenwich, Connecticut
1639793557- Practice location
- 5 Perryridge RD, Greenwich, CT 06830-4608
- Phone
- 203-863-3000
- Fax
- —
- Last updated
- October 14, 2025
Larisa Ann Gillern is a Physician Assistant, Surgical based in Greenwich, CT. Larisa Ann Gillern practices in Greenwich, CT and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Larisa Ann Gillern is 1639793557. The current practice location address for Larisa Ann Gillern is 5 Perryridge RD, Greenwich, CT 06830-4608 and can be reached out via phone at 203-863-3000.
Provider Profile Details
- NPI Number
- 1639793557
- Provider Name
- Larisa Ann Gillern
- Credential
- PHYSICIAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 Perryridge RD, Greenwich, CT 06830-4608
- Phone Number
- 203-863-3000
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 5, 2020
- Last Update Date
- October 14, 2025
- Certification Date
- October 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Perryridge RD
Greenwich, CT 06830-4608 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-4608
- Phone Number
- 203-863-3000
Provider Business Mailing Address Details
- Address
- 74 Ocean Ave
Milford, CT 06460-5341 - City
- Milford
- State
- CT
- Zip
- 06460-5341
- Phone Number
- 203-979-4882
License Information
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Greenwich, CT
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- Donna L Silverstein, PA-CPhysician Assistant, Surgical · NPI 1841492089
Frequently Asked Questions
What is the NPI number of Mrs. Larisa A Gillern, PHYSICIAN ASSISTANT?
The NPI number of Mrs. Larisa A Gillern, PHYSICIAN ASSISTANT is 1639793557. It was assigned on June 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Mrs. Larisa A Gillern, PHYSICIAN ASSISTANT?
Mrs. Larisa A Gillern, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).
Where does Mrs. Larisa A Gillern, PHYSICIAN ASSISTANT practice?
The practice location is 5 Perryridge RD, Greenwich, CT 06830-4608. The office can be reached at 203-863-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639793557 directly on the NPPES registry website.