MICHAEL LARSEN (NPI# 1144781717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144781717 |
| Entity Type | Individual |
| Full Name | MICHAEL LARSEN |
| Practice Address |
5841 S. Maryland Ave M/c 4028 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737026842 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 125.073601 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134508039 | Michael Larsen | Radiologic Technologist | 11019 Dove Tail Ter, San Diego, CA 92128-4019 | 2015-05-25 |
| 1891999264 | Michael E Larsen | Social Worker | 24620 Knox Dr, Marshall, MO 65340-4304 | 2007-06-12 |
| 1558415745 | Michael Paul Larsen | Optometrist | 59 Auburn St, Auburn, MA 01501-2428 | 2007-01-23 |
| 1144383308 | Michael Richard Larsen | Chiropractor | 201 Allegheny Ave, Coudersport, PA 16915-1501 | 2006-12-19 |
| 1619053931 | Michael L Larsen | Chiropractor | 1052 E Losey St, Galesburg, IL 61401-3874 | 2006-10-30 |
| 1376570242 | Michael Andrew Larsen | Dentist | 1361 E 16th St, Burley, ID 83318-2008 | 2006-06-27 |
| 1114391851 | Michael Larsen | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2015-11-18 |
| 1891040440 | Michael Thorpe Larsen | Plastic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2012-07-19 |
| 1962685222 | Michael Carl Larsen | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-12-10 |
| 1902005663 | Michael L Larsen | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-13 |
| Street Address |
5841 S. MARYLAND AVE M/C 4028 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184658478 | Christopher Manuel Gomez | Psychiatry & Neurology | 5841 S. Maryland Ave, Mc 2030, Chicago, IL 60637-1470 | 2006-07-10 |
| 1598385601 | Matthew Nathan | Pediatrics | 5841 S. Maryland Ave, Mc1052, Chicago, IL 60637 | 2020-04-18 |
| 1073154829 | Ewelina Orozco | Nurse Practitioner | 5841 S. Maryland Ave, Chicago, IL 60637 | 2019-10-02 |
| 1114489192 | Juan Pablo Alban | Internal Medicine | 5841 S. Maryland Ave, Mc 7082, Chicago, IL 60637-1443 | 2019-04-01 |
| 1144728783 | Jacqueline Lippe | Nurse Practitioner | 5841 S. Maryland Ave, Mc 2115, Chicago, IL 60637-1470 | 2018-01-29 |
| 1780035337 | Miriam Robinovitz | Psychiatry & Neurology | 5841 S. Maryland Ave, M/c 3077, Chicago, IL 60637-1443 | 2016-06-24 |
| 1821444837 | Jovian Yu | Internal Medicine | 5841 S. Maryland Ave, M/c 2115, Chicago, IL 60637-1443 | 2016-05-09 |
| 1932561156 | Kimberly Joy Beiting | Family Medicine | 5841 S. Maryland Ave, Mc 6098, Chicago, IL 60637-1443 | 2016-03-26 |
| 1316329774 | Lee Michael Stratton | Surgery | 5841 S. Maryland Ave, Rm. G-201, Mc4052, Chicago, IL 60637-1443 | 2015-06-22 |
| 1235516774 | Richard Wlodarski | Internal Medicine | 5841 S. Maryland Ave, Rm. S231 Mc 2030, Chicago, IL 60637-1470 | 2015-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983981 | Ankit Arora | Anesthesiology | 836 W Wellington Ave Ste 4874, Chicago, IL 60657-5147 | 2020-05-07 |
| 1922628122 | Frank Joseph Bailey | Anesthesiology | 5841 S Maryland Ave # Mc4208, Chicago, IL 60637-1443 | 2020-04-17 |
| 1770140212 | Sara Boldt | Anesthesiology | Rush University Medical Center, Dept. of Anesthesiology, 1653 W. Congress Parkway, Suite 739, Chicago, IL 60612 | 2019-05-21 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1982181418 | Syed Abdul Rahman | Anesthesiology | 1969 Ogden Ave, 5th Floor 5670, Chicago, IL 60612 | 2018-07-27 |
| 1104311810 | Mukund Gande | Anesthesiology | 1956 W Erie St Unit 3e, Chicago, IL 60622-5671 | 2018-06-25 |
| 1790274041 | Integrated Pain Management, Sc | Anesthesiology | 2674 N. Halsted, Chicago, IL 60614-2302 | 2018-05-02 |
| 1508355876 | Integrated Pain Management, Sc | Anesthesiology | 4906 N. Western, Chicago, IL 60625-1922 | 2018-05-02 |
| 1881191849 | Wooheon Thomas Kim | Anesthesiology | 251 East Huron Street (northwestern Memorial Hospital), Chicago, IL 60611 | 2018-04-06 |
| 1922500461 | Paul Randall Barach | Anesthesiology | 711 S Dearborn St Unit 201, Chicago, IL 60605-1823 | 2018-02-28 |
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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.