Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larysa A. Iwaskiw, PA-C

Individual provider Surgical Physician Assistant · NPI 1952162539

Larysa A. Iwaskiw, PA-C is a Physician Assistant in Concord, North Carolina. Qualified in 2023, 3 years ago. Practices with Atlantic Brain and Spine LLC, a 26-clinician group and works from 3 locations. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110 Lake Concord Rd NE
Concord, NC 28025-2918
Phone: (704) 792-2672
Fax: (704) 792-2674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 225 Baldwin Ave, Charlotte, NC 28204-3109 — (704) 376-1605
  • 10314 Hamptons Park Dr, Huntersville, NC 28078-7217 — (704) 831-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14814 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-14814 (NC)

Record details

NPI number1952162539
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Atlantic Brain And Spine Llc — 26 clinicians
Accepts Medicare assignment Not indicated
Practice locations12 on file with Medicare

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