Provider Demographics
NPI:1306800800
Name:CAIN, LARRY RAY (MD)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:RAY
Last Name:CAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASHEVILLE VAMC
Mailing Address - Street 2:1100 TUNNEL RD.
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805
Mailing Address - Country:US
Mailing Address - Phone:828-298-7911
Mailing Address - Fax:
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:DOCTORS PARK STE 3-H
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-285-0014
Practice Address - Fax:828-285-9898
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18911207RG0100X
NC37804174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2970535OtherUNITED HEALTHCARE
NC100006549OtherRR MEDICARE
NC20653OtherBLUE CROSS/SHIELD OF NC
NC8920653Medicaid
NC2970535OtherUNITED HEALTHCARE