DR. JORDAN REEVE LARSEN (NPI# 1215299490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215299490 |
| Entity Type | Individual |
| Full Name | DR. JORDAN REEVE LARSEN |
| Credential | DO |
| Practice Address |
940 Ne 13th St Gt 2300 Oklahoma City OK 73104-5008 |
| Practice Telephone | 4052712429 |
| Mailing Telephone | 4052712429 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
5764 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294076 | Jordan Larsen | Student in an Organized Health Care Education/Training Program | 900 N Stonewall Ave Apt 39, Oklahoma City, OK 73117-2846 | 2020-04-25 |
| 1205372026 | Jordan Larsen | Social Worker | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2017-01-18 |
| Street Address |
940 NE 13TH ST GT 2300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460549 | Susan J Hassed | Genetic Counselor, MS | 940 Ne 13th St, Cho - Genetics 2b 2418, Oklahoma City, OK 73104-5008 | 2005-10-13 |
| 1003304643 | Xin Lu | Student in an Organized Health Care Education/Training Program | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2018-04-30 |
| 1962947994 | Nicole Marie Massie | Physician Assistant | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2016-12-29 |
| 1043691033 | Thang Truong | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104 | 2015-06-15 |
| 1730593294 | Natalie Stratemeier | Radiology | 940 Ne 13th St, Suite 4g4200, Oklahoma City, OK 73104-5008 | 2014-06-12 |
| 1730508151 | Tiffany Palmer | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2014-04-14 |
| 1972948438 | Stephanie Ferrin | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2013-05-09 |
| 1417392986 | Chee Yoon Shim Bauer | Internal Medicine | 940 Ne 13th St, Oklahoma City, OK 73104 | 2013-05-09 |
| 1881039055 | David Auld | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2013-05-01 |
| 1245674647 | Geoffrey Lowe | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124425129 | Francis Idada | Pediatrics | 940 Ne 13th St Ste 2g-2300, Oklahoma City, OK 73104-5008 | 2014-11-20 |
| 1689093577 | Vamsikrishna Polamreddy Kaliki | Pediatrics | 940 Ne 13th St # 2300, Oklahoma City, OK 73104-5008 | 2014-04-08 |
| 1689105991 | Scott Treece | Pediatrics | 940 Ne 13th St # 2300, Oklahoma City, OK 73104-5008 | 2017-03-27 |
| 1427402106 | Cameron Philip Busk | Pediatrics | 940 Ne 13th St # 2300, Oklahoma City, OK 73104-5008 | 2016-04-19 |
| 1316309164 | Meena Ezzat Guirguis | Pediatrics | 940 Ne 13th St # 2g-2300, Oklahoma City, OK 73104-5008 | 2016-03-22 |
| 1821475336 | Mary Asal | Pediatrics | 940 Ne 13th St # 2300, Oklahoma City, OK 73104 | 2015-05-05 |
| 1669869731 | Kendall Luyt | Pediatrics | 940 Ne 13th St # 2300, Oklahoma City, OK 73104 | 2015-04-16 |
| 1619370640 | Yashas R Nathani | Pediatrics | 940 Ne 13th St # 2300, Oklahoma City, OK 73104-5008 | 2014-10-05 |
| 1730508151 | Tiffany Palmer | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2014-04-14 |
| 1184723132 | Robert C Welliver | Pediatrics | 1200 Childrens Ave, Oucpb 5100, Oklahoma City, OK 73104-4637 | 2006-09-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.