DR. JEFFREY A LARSON (NPI# 1013166990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013166990 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A LARSON |
| Credential | MD |
| Practice Address |
2000 E Greenville St Anderson SC 29621-1580 |
| Mailing Address |
Po Box 100174 Columbia SC 29202-3174 |
| Practice Telephone | 8647166100 |
| Practice Fax Number | 8647166120 |
| Mailing Telephone | 8647166100 |
| Mailing Fax Number | 8647166120 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 83826 | SC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 2013019928 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4921 Parkview Pl, Saint Louis, MO 631101032 | 3143628200 | 3143675016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699824177 | Jeffrey R. Larson | Preventive Medicine | 9250 N 32nd Pl, Phoenix, AZ 85028-4917 | 2007-01-10 |
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1164435855 | Jeffrey D Larson | Dentist | 1211 S Kimball Ave, Caldwell, ID 83605-4626 | 2006-08-14 |
| 1023575263 | Jeffrey Donald Larson | Counselor | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-02-25 |
| 1790269645 | Jeffrey Larson | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Chicago, IL 60611-2909 | 2018-09-17 |
| 1255864823 | Jeffrey Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2017-04-10 |
| 1144516097 | Jeffrey Donald Larson | Family Medicine | 14 Lake St, Oak Park, IL 60302-2606 | 2011-06-20 |
| 1578868527 | Jeffrey David Larson | Social Worker | 1776 S Main St, Salt Lake City, UT 84115-1951 | 2011-01-24 |
| 1154657245 | Jeffrey Gerard Larson | Social Worker | 451 Dunham Rd, Suite 400, Saint Charles, IL 60174-1431 | 2009-10-23 |
| 1326179177 | Jeffrey J Larson | Counselor | 18623 Vashon Hwy Sw, Vashon, WA 98070-5211 | 2007-03-07 |
| Street Address |
2000 E GREENVILLE ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677825 | Michael Ray Kunkel | Internal Medicine | 2000 E Greenville St, Ste 3850, Anderson, SC 29621-1580 | 2005-05-23 |
| 1790307759 | Christen Michelle King | Dietitian, Registered | 2000 E Greenville St, Anderson, SC 29621-1580 | 2020-05-13 |
| 1851854764 | Anietra Bailey | Student in an Organized Health Care Education/Training Program | 2000 E Greenville St, Anderson, SC 29621-1580 | 2019-04-08 |
| 1093294985 | Melanie Anne Johnson | Nurse Practitioner | 2000 E Greenville St, Anderson, SC 29621-1580 | 2018-08-10 |
| 1861978744 | Lynda Dee Vedders | Nurse Practitioner | 2000 E Greenville St, Anderson, SC 29621-1580 | 2018-07-13 |
| 1659877868 | Jessica W Draisen | Nurse Practitioner | 2000 E Greenville St, Anderson, SC 29621-1580 | 2018-04-05 |
| 1972016574 | Fanika Lowe | Nurse Practitioner | 2000 E Greenville St, Anderson, SC 29621-1580 | 2017-11-06 |
| 1962938829 | Sarah Gregorich | Counselor | 2000 E Greenville St, Anderson, SC 29621-1580 | 2017-05-11 |
| 1487188389 | Abby Rowland | Family Medicine | 2000 E Greenville St, Suite 3600, Anderson, SC 29621-1580 | 2017-04-18 |
| 1740713668 | William Nathaniel Gasque | Family Medicine | 2000 E Greenville St, Suite 3600, Anderson, SC 29621-1580 | 2017-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982659363 | Charles William Hinnant Jr. | Urology | 112 Essex Dr, Anderson, SC 29621-3319 | 2006-05-23 |
| 1750331195 | Steven C. Kim | Urology | 141 W. 22nd St., Suite 203, Anderson, IN 46016 | 2006-05-10 |
| 1891753893 | Anderson Urology Associates Pa | Urology | 112 Essex Drive, Anderson, SC 29621-3319 | 2006-05-02 |
| 1861497356 | Julian R.m. Mendoza | Urology | 121 W 23rd St, Anderson, IN 46016-4325 | 2005-06-20 |
| 1164789186 | Anmed Health | Urology | 2000 E Greenville St, Suite 5140, Anderson, SC 29621-1580 | 2012-04-16 |
| 1437326543 | Harvey C. Walker | Urology | 2106 N Main St, Anderson, SC 29621-3871 | 2008-05-08 |
| 1386826741 | Urology Associates, LLC | Urology | 141 W 22nd St, Sutie 213, Anderson, IN 46016-4304 | 2007-11-28 |
| 1528153731 | Urologic Surgery Associates, P.a. | Urology | 2000 E Greenville St, Suite 2900, Anderson, SC 29621-1580 | 2006-10-04 |
| 1073625307 | Raymond Kirk Seiler | Urology | 2000 E Greenville St, Suite 2900, Anderson, SC 29621-1580 | 2006-08-31 |
| 1518079839 | Dennis S. Whatley | Urology | 2000 E Greenville St, Suite 2900, Anderson, SC 29621-1580 | 2006-08-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.