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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LARISA ANN GILLERN, PHYSICIAN ASSISTANT

Active Sole Proprietor

MRS. LARISA ANN GILLERN, PHYSICIAN ASSISTANT is a Surgical Physician Assistant healthcare provider located in GREENWICH, Connecticut. NPI 1639793557 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · GREENWICH, CT

Registration Details

NPI Number
1639793557
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2020 (6.150175252472 yrs)
Last Updated
Oct 14, 2025
Sole Proprietor
Yes

Practice Information

Address
5 PERRYRIDGE RD
GREENWICH, CT, 068304608
Browse CT providers · Browse ZIP 06830
Phone
2038633000
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in GREENWICH, CT

Name Credential NPI
JESUS SANTIAGO PA 1215044672
LEONID BILENKIN PHYSICIAN ASSISTANT 1083780795
JOANNE NACHTYGAL PA 1144365016
DONNA L SILVERSTEIN PA-C 1841492089
JASON JAMES SALOMON PA 1275784068
JOSE RAMON ELBO BALINGCONGAN PA-C 1770888125
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.