PAUL CLAY LARSON (NPI# 1093713323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093713323 |
| Entity Type | Individual |
| Full Name | PAUL CLAY LARSON |
| Credential | M.D. |
| Practice Address |
3704 North Blvd Suite 1 Alexandria LA 71301-3606 |
| Practice Telephone | 3184428399 |
| Practice Fax Number | 3184489897 |
| Mailing Telephone | 3184428399 |
| Mailing Fax Number | 3184489897 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2011-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 015700 | LA | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
015700 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | 300083622 | 01 |
| LA | 1321699 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599224 | Paul Larson | Physical Therapist | 803 S University Ave, Beaver Dam, WI 53916-3029 | 2016-06-21 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1598999609 | Paul William Larson | Anesthesiology | 2603 S 4th Ave, Yuma, AZ 85364-7256 | 2009-05-05 |
| 1952547424 | Paul R Larson | Family Medicine | 301 Eleventh St, Suite C, New Kensington, PA 15068-6179 | 2009-01-05 |
| 1124091749 | Paul Larson | Psychiatry & Neurology | 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 | 2006-02-13 |
| 1477525681 | Paul Matthew Larson | Physical Therapist | 2510 E 7th Ave, Flagstaff, AZ 86004-3719 | 2006-02-02 |
| 1619483799 | Paul Seth Larson | Nurse Practitioner | 3001 W Mlk Blvd, Tampa, FL 33607-6307 | 2017-12-27 |
| 1679604771 | Paul C. Larson | Psychologist | 222 Merchandise Mart Plz, Suite #13-659, Chicago, IL 60654-1103 | 2007-03-08 |
| 1629134960 | Paul Robert Larson | Nurse Practitioner | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-29 |
| 1013005321 | Paul S Larson | Specialist | 400 Parnassus Ave, Rm A808, San Francisco, CA 94143-0350 | 2006-10-11 |
| Street Address |
3704 NORTH BLVD SUITE 1 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006535 | Alfred A Mansour Jr. | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2005-07-08 |
| 1952857807 | Marjorie Shanks | Physician Assistant | 3704 North Blvd, Alexandria, LA 71301-3658 | 2016-08-31 |
| 1922413905 | Robert Lewis Meadows | Physician Assistant | 3704 North Blvd, Ste C, Alexandria, LA 71301-3658 | 2014-06-27 |
| 1679913115 | Tiffany Teal Williams | Registered Nurse | 3704 North Blvd, Suite C, Alexandria, LA 71301-3658 | 2013-06-28 |
| 1942513288 | Daniel Ryan Bonifield | Radiology | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3658 | 2010-07-15 |
| 1629176615 | Garett G Guilbeau | Physician Assistant | 3704 North Blvd, Suite C, Alexandria, LA 71301-3658 | 2006-09-21 |
| 1669405098 | Christian Anthony Scheuermann | Radiology | 3704 North Blvd, Suite 1, Alexandria, LA 71301 | 2006-07-09 |
| 1447206537 | Alexandria Neurosurgical Clinic Inc | Specialist | 3704 North Blvd, Suite C, Alexandria, LA 71301-3606 | 2006-05-26 |
| 1992767404 | William David Long | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2006-04-03 |
| 1659357598 | Robert Doyle Harvey | Physician Assistant | 3704 North Blvd, Suite C, Alexandria, LA 71301-3606 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235423054 | Michael Lloyd Doxey | Radiology | 801 S Royal St, Alexandria, VA 22314-4340 | 2011-06-09 |
| 1902063761 | Renee Denise Wyatt | Radiology | 5064 Kilburn St, Alexandria, VA 22304-7766 | 2008-05-20 |
| 1306021407 | Devin Kendrick Tighe | Radiology | 3704 North Blvd Ste 1, Alexandria, LA 71301-3658 | 2008-01-08 |
| 1285786665 | Hospital Imaging Co Inc | Radiology | 7200 Alexandria Pike, Alexandria, KY 41001-1036 | 2007-01-17 |
| 1629129655 | Ultrasound Associates | Radiology | 5055 Seminary Rd Ste 104, Alexandria, VA 22311-2026 | 2007-01-16 |
| 1790716280 | Medical Scanning Consultants Pa | Radiology | 1527 Broadway Street, Alexandria, MN 56308 | 2006-07-05 |
| 1578509410 | Medical Scanning Consultants Pa | Radiology | 111 17th Avenue East, Alexandria, MN 56308 | 2006-06-21 |
| 1417931650 | William Patrick O'grady | Radiology | 3720 Seminary Rd, Alexandria, VA 22304-5203 | 2005-12-01 |
| 1336582519 | Ali Alikhani | Radiology | 4320 Seminary Rd, Alexandria, VA 22304 | 2013-04-08 |
| 1659628154 | Vijay J Nayak | Radiology | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2012-08-14 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on PAUL CLAY LARSON.
| 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.