MR. WILLIAM LARSEN (NPI# 1124409099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124409099 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM LARSEN |
| Credential | FNP |
| Practice Address |
404 N Cayuga St Ithaca NY 14850-4219 |
| Practice Telephone | 6072770969 |
| Practice Fax Number | 6072773242 |
| Mailing Telephone | 6072770969 |
| Mailing Fax Number | 6072773242 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
339752 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04173960 | 05 | |
| NY | TOTAL CARE GROUP | 1088 | 01 |
| NY | MEDICAID GROUP | 2734852 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083712301 | William Walter Larsen | Psychologist | 525 Itasca St, Grand Rapids, MN 55744-2965 | 2006-09-20 |
| 1356711584 | William Larsen | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2015-09-30 |
| 1164483004 | William G Larsen | Family Medicine | 7920 Moores Chapel Rd, Charlotte, NC 28214-9453 | 2006-03-30 |
| 1831197532 | William J Larsen | Audiologist | 1242 Hockman Pike, Bluefield, VA 24605-9351 | 2005-07-07 |
| Street Address |
404 N CAYUGA ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014974 | Adam Law | Internal Medicine | 404 N Cayuga St, Ithaca, NY 14850-4219 | 2005-06-24 |
| 1689866964 | Cynthia Schnedeker | Family Medicine | 404 N Cayuga St, Attn: Stephanie Giordano, Ithaca, NY 14850-4219 | 2007-08-10 |
| 1609903004 | Adam Law, Md, PC | Family Medicine | 404 N Cayuga St, Ithaca, NY 14850-4219 | 2007-02-27 |
| 1720114838 | Nancy B Stewart | Family Medicine | 404 N Cayuga St, Ithaca, NY 14850-4219 | 2007-02-25 |
| 1538151162 | Anne Denise Neirynck | Registered Nurse | 404 N Cayuga St, Ithaca, NY 14850-4219 | 2005-08-19 |
| 1184616609 | Katherine Worrell Williams | Internal Medicine | 404 N Cayuga St, Ithaca, NY 14850-4219 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840241 | Eric Knaake | Nurse Practitioner | 8 Brentwood Dr Ste B, Ithaca, NY 14850-1871 | 2017-02-20 |
| 1295110419 | Elizabeth Bordoni | Nurse Practitioner | 16 Brentwood Dr # A, Ithaca, NY 14850-1863 | 2015-07-29 |
| 1346656675 | Amy E Aittama | Nurse Practitioner | 404 N. Cayuga Street, Ithaca, NY 14850 | 2014-07-08 |
| 1811271398 | Patricia A Cornell | Nurse Practitioner | 117 Park Ln, Ithaca, NY 14850-6309 | 2011-10-03 |
| 1194013680 | Pamela Cronk | Nurse Practitioner | 20 Arrowwood Drive, Ithaca, NY 14850-1869 | 2011-07-18 |
| 1669760682 | Susan Mckernan Mckelvey | Nurse Practitioner | 905 Hanshaw Rd, Ithaca, NY 14850-1549 | 2011-07-11 |
| 1134261993 | Barbara A Wood | Nurse Practitioner | 217 Linn St, Ithaca, NY 14850-3716 | 2007-02-12 |
| 1558437640 | Marie Harkins | Nurse Practitioner | 1020 Craft Rd Ste C, Ithaca, NY 14850-1016 | 2006-11-28 |
| 1629048921 | Marianne D Varn | Nurse Practitioner | 16 Brentwood Dr Ste B, Ithaca, NY 14850 | 2006-01-26 |
| 1992783153 | Jennifer Metzgar | Nurse Practitioner | 953 Danby Rd, Ithaca, NY 14850-7000 | 2006-01-06 |
| Find all providers in ITHACA | ||||
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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.