JEFF D LARSEN (NPI# 1104819622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104819622 |
| Entity Type | Individual |
| Full Name | JEFF D LARSEN |
| Credential | MD |
| Practice Address |
1687 E Division St River Falls WI 54022 |
| Practice Telephone | 7154256701 |
| Practice Fax Number | 7154257075 |
| Mailing Telephone | 7154256701 |
| Mailing Fax Number | 7154257075 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 37621 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32225000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467725051 | Jeff William Larsen | Physical Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2012-02-14 |
| Street Address |
1687 E DIVISION ST |
| City | RIVER FALLS |
| State | WI |
| Zip Code | 54022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453597 | Jon V. Thomas | Otolaryngology | 1687 E Division St, River Falls, WI 54022-1571 | 2005-08-10 |
| 1215572813 | Healtheast Medical Research Insititue | Clinic/Center | 1687 E Division St, River Falls, WI 54022-1571 | 2019-11-07 |
| 1861041931 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 1687 E Division St, River Falls, WI 54022-1571 | 2019-09-10 |
| 1811550155 | Fairview Clinics | Specialist | 1687 E Division St, River Falls, WI 54022-1571 | 2019-04-22 |
| 1962936120 | Kaitlyn Michelle Bader | Pharmacist | 1687 E Division St, River Falls, WI 54022-1571 | 2017-04-14 |
| 1144608589 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1687 E Division St, River Falls, WI 54022-1571 | 2015-05-18 |
| 1144507740 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1687 E Division St, Unit 2, River Falls, WI 54022-1571 | 2011-11-10 |
| 1144542465 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 1687 E Division St, River Falls, WI 54022-1571 | 2010-03-01 |
| 1659548832 | Amaris Moore | Family Medicine | 1687 E Division St, River Falls, WI 54022-1571 | 2008-05-15 |
| 1700064110 | Monica J Pesavento | Family Medicine | 1687 E Division St, River Falls, WI 54022-1571 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705225 | Speech Remedies LLC | Speech-Language Pathologist | 120 E Johnson St, River Falls, WI 54022 | 2019-08-16 |
| 1861998858 | Maegan Kay Olson | Specialist/Technologist | 185 Emogene Nelson Ave, River Falls, WI 54022 | 2018-03-30 |
| 1336539386 | Erin Mcniff-kirby | Counselor | 215 N 2nd St Ste 108, River Falls, WI 54022 | 2015-01-29 |
| 1215376744 | Romaine S. Hanson | Dietitian, Registered | N8072 State Road 29, River Falls, WI 54022 | 2013-06-18 |
| 1881904506 | John Laughlin IIi | Dentist | N7915 902nd St., River Falls, WI 54022 | 2010-10-15 |
| 1770705576 | Nora Edith Reid | Speech-Language Pathologist | W10356 Hwy 29, River Falls, WI 54022 | 2007-05-02 |
| 1790834885 | Sharyl Anne Samargia | Speech-Language Pathologist | 410 South Third St, River Falls, WI 54022 | 2007-01-09 |
| 1689721110 | Naomi Hashimoto | Speech-Language Pathologist | 410 S Third St, Speech Hearing Clinic, River Falls, WI 54022 | 2007-01-05 |
| 1255402582 | Stephen Schwalbach | Dentist | 650 South Main St, River Falls, WI 54022 | 2006-11-10 |
| 1225124290 | David A Page | Dentist | 107 East Locust Street, River Falls, WI 54022 | 2006-10-05 |
| Find all providers in zip 54022 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821220930 | Enoch Arhinful | Internal Medicine | 1617 E Division St, River Falls, WI 54022-1571 | 2009-08-24 |
| 1750505913 | Benjamin Reid Morgan | Internal Medicine | 1687 E Division St, River Falls, WI 54022-1571 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
| Find all providers with the same taxonomy | ||||
| City | RIVER FALLS |
| Zip Code | 54022 |
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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.