IndividualActive
Israel Large, MD
NPI 1609616259 · Student in an Organized Health Care Education/Training Program · Grandview, MO
Provider details
- NPI number
- 1609616259
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13013 Fuller Ave Ste a
Grandview, MO 64030-2687
Phone: (915) 867-0499
Street-level locationGet directions
Mailing address
1501 E Whitton Ave Apt 302
Phoenix, AZ 85014-5180
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.