MARC DEVRIES LARSEN


Address: 4401 Wornall Rd, Kansas City, MO 64111
Phone: 8169322047

MARC DEVRIES LARSEN (NPI# 1144236159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144236159
Entity Type Individual
Full Name MARC DEVRIES LARSEN
Credential MD
Practice Address 4401 Wornall Rd
Kansas City
MO 64111
Mailing Address Po Box 78009
St Louis
MO 63178
Practice Telephone 8169322047
Mailing Telephone 6169759824
Mailing Fax Number 6169759827
Enumeration Date 2006-07-31
Last Update Date 2008-03-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
2006010971 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 37548019 01
RAILROAD MEDICARE P00393448 01

Office Location

Street Address 4401 WORNALL RD
City KANSAS CITY
State MO
Zip Code 64111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003818345 Lisa Marie Hermes Physical Medicine & Rehabilitation 4401 Wornall Rd, Rehab Physicians Medical Group, Main 4, Kansas City, MO 64111-3220 2005-06-01
1821697160 Johnny Todd Linard Nurse Practitioner 4401 Wornall Rd, Kansas City, MO 64111-3241 2020-10-19
1942813662 Stephen Senne Registered Nurse 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-08-24
1316556137 Danielle Mcadams Registered Nurse 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-07-28
1801414719 Michelle Lee Foltz Registered Nurse 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-07-07
1720602089 Brittany Mcquain Registered Nurse 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-06-02
1366065211 Sonny Thanh Phan Nurse Anesthetist, Certified Registered 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-05-27
1215550454 Robert Charles Mix Nurse Anesthetist, Certified Registered 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-05-22
1528689981 Amanda Hill Registered Nurse 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-04-27
1538789193 Amber Bergmann Registered Nurse 4401 Wornall Rd, Kansas City, MO 64111-3220 2020-04-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242810 Kristen Casey Psychologist 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 2020-07-09
1336765015 Tyler Hoelting Chiropractor 3611 Main Street, Kansas City, MO 64111 2020-06-18
1003452764 Sarah Anne Heavey Nurse Practitioner 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 2019-11-18
1558844241 Guardian Angels, LLC Home Health 4049 Pennsylvania Ave, Kansas City, MO 64111 2018-09-10
1730669169 Hannah Eagleburger Physician Assistant 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 2018-08-15
1316460835 Kandace Callwell Counselor 4106 Baltimore Ave, Kansas City, MO 64111 2017-07-18
1780046250 Sara Koenemann Nurse Practitioner 4400 Broadway St., Ste. 520, Kansas City, MO 64111 2016-03-24
1932586245 Suzzette Griffith Acupuncturist 406 W 34th Street Ste 812, Kansas City, MO 64111 2015-05-06
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1730595026 Morgan Nelson Audiologist 4230 Wornall Road, Suite 420, Kansas City, MO 64111 2014-07-07
Find all providers in zip 64111

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750434999 Luis Robles Emergency Medicine 529 Southwest Blvd, Kansas City, MO 64108-2122 2007-01-19
1316180839 Jennifer J Von Fintel Emergency Medicine 8929 Parallel Pkwy, Kansas City, KS 66112-1689 2009-04-14
1194980409 Jiten Natvar Lad Emergency Medicine 920 Main St Ste 300, Attn Dr. Jiten Lad, Kansas City, MO 64105-2008 2008-07-25
1114199817 Emily Anne Hillman Emergency Medicine 2301 Holmes St, Kansas City, MO 64108-2640 2008-04-02
1114147857 Anthony James Bonin Emergency Medicine 1000 Carondelet Dr, Kansas City, MO 64114-4673 2007-04-26
1114144219 David Allen Hobley Emergency Medicine 1000 Carondelet Dr, Kansas City, MO 64114-4673 2007-04-19
1033222997 John Lorei Emergency Medicine 4401 Wornall Rd, Kansas City, MO 64111-3220 2006-08-16
1588670962 Douglas Arthur Coe Emergency Medicine 2401 Holmes St, Kansas City, MO 64108-2741 2006-07-31
1932132032 Emily Hyatt Emergency Medicine 8929 Parallel Pkwy, Kansas City, KS 66112-1689 2006-07-09
1336177898 Thomas G Millard Emergency Medicine 1000 Carondelet Dr, Kansas City, MO 64114-4673 2006-06-30
Find all providers in KANSAS CITY

Competitor

Search similar providers

City KANSAS CITY
Zip Code 64111

Improve Information

Please comment or provide details below to improve the information on MARC DEVRIES LARSEN.

Dataset Information

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.

Trending Searches