GREGORY PAUL LARSEN (NPI# 1356862015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356862015 |
Entity Type | Individual |
Full Name | GREGORY PAUL LARSEN |
Credential | DPM |
Practice Address |
13525 Centerbrook Ste 104 Universal City TX 78148-2734 |
Practice Telephone | 2103753318 |
Practice Fax Number | 2102576931 |
Mailing Telephone | 2103753318 |
Mailing Fax Number | 2102576931 |
Enumeration Date | 2017-07-03 |
Last Update Date | 2020-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
30491 | TX | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497773725 | Gregory Paul Larsen | Dentist | 7370 S Creek Road, Suite 104, Sandy, UT 84093-6105 | 2006-07-17 |
1366447922 | Gregory S Larsen | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-06-20 |
1548497860 | Gregory Paul Larsen | Urology | 1111 Medical Center Blvd, Suite 313, Marrero, LA 70072-3151 | 2009-06-12 |
1104073709 | Gregory S Larsen | Emergency Medicine | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-08-26 |
Street Address |
13525 CENTERBROOK STE 104 |
City | UNIVERSAL CITY |
State | TX |
Zip Code | 78148-2734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760851539 | Michael Hoenig | Podiatrist | 13525 Centerbrook Ste 104, Universal City, TX 78148-2734 | 2015-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518571579 | Lisandra Sanchez Valdes | Behavioral Analyst | 165 Palisades Dr. Apt 407, Universal City, TX 78148 | 2020-09-06 |
1508348293 | India Sheppard | Licensed Practical Nurse | 1165 Palisades Dr, Apt 1108, San Antonio, TX 78148 | 2018-08-30 |
1114417748 | Kiana Jade Whitlock | Behavior Technician | 122 West Lindbergh Blvd, Universal City, TX 78148 | 2018-05-18 |
1477068427 | Smile Workshop Universal City, Pllc | Dentist | 520 Kitty Hawk Dr, Universal City, TX 78148 | 2017-12-12 |
1891209383 | Advanced Health Chiropractic | Chiropractor | 433 Kitty Hawk Rd. Ste.#111, Building #1, Universal City, TX 78148 | 2017-11-20 |
1528572013 | Brandon U Pounds | Chiropractor | 433 Kitty Hawk Rd. Ste. #111, Building #1, Universal City, TX 78148 | 2017-11-20 |
1528514403 | Tu'sheila E Stewart | Counselor | 512 S. Bowie, Universal City, TX 78148 | 2016-08-30 |
1275878670 | Metx LLC | Audiologist-Hearing Aid Fitter | 918 Coronado Blvd, Universal City, TX 78148 | 2012-12-11 |
1790044139 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Randolph Afb Bldg. 1068, Universal City, TX 78148 | 2012-05-04 |
1154496354 | Thomas H Holmes | Dentist | 2202 Universal City Blvd, Universal City, TX 78148 | 2006-11-22 |
Find all providers in zip 78148 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748656 | Lonestar Foot and Ankle Surgical Associates, Pllc | Podiatrist | 515 E Court St Ste 300, Seguin, TX 78155-5726 | 2020-10-19 |
1528665437 | New Horizon Foot and Ankle Specialists | Podiatrist | 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 | 2020-10-04 |
1467067603 | Katy Foot & Ankle Pllc | Podiatrist | 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 | 2020-09-14 |
1154932812 | Delara Foot and Ankle Pllc | Podiatrist | 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 | 2020-08-14 |
1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
1013536952 | Select Foot and Ankle Specialists, P.l.l.c. | Podiatrist | 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 | 2020-04-10 |
1871129445 | Interventional Partners LLC | Podiatrist | 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 | 2020-03-16 |
1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
Find all providers with the same taxonomy |
City | UNIVERSAL CITY |
Zip Code | 78148 |
Please comment or provide details below to improve the information on GREGORY PAUL LARSEN.
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.