JAY C LARSON (NPI# 1386806917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386806917 |
| Entity Type | Individual |
| Full Name | JAY C LARSON |
| Credential | DPM |
| Practice Address |
5750 W Thunderbird Rd Ste G700 Glendale AZ 85306 |
| Mailing Address |
5750 W Thunderbird Rd Ste G700 Glendale AZ 85306-4673 |
| Practice Telephone | 6029383600 |
| Mailing Telephone | 6029383600 |
| Mailing Fax Number | 6029380400 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0729 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 5901002297 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 618036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588603666 | Jay Larson | Internal Medicine | 301 Saddle Dr, Helena, MT 59601-8098 | 2006-06-05 |
| Street Address |
5750 W THUNDERBIRD RD STE G700 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700848157 | Gary Neal Friedlander | Podiatrist | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306 | 2006-04-03 |
| 1043525314 | Dustin Doyle | Podiatrist | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306-4673 | 2010-08-11 |
| 1275621799 | Sole, Foot and Ankle Specialists PC | Clinic/Center | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306-4673 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602399 | Sole Care LLC | Podiatrist | 5660 W Potter Dr, Glendale, AZ 85308-9164 | 2011-09-01 |
| 1811166341 | Spyros Tsoumpariotis | Podiatrist | 7901 Myrtle Ave, Glendale, NY 11385-7441 | 2008-02-28 |
| 1164608394 | Joseph Addiego | Podiatrist | 1510 S Central Ave Ste 120, Glendale, CA 91204-2576 | 2008-01-17 |
| 1073660353 | Glenoaks Podiatry Group Inc | Podiatrist | 844 West Glenoaks Blvd, Glendale, CA 91202-2134 | 2007-01-05 |
| 1417032863 | Spyros Tsoumpariotis | Podiatrist | 79-01 Myrtle Ave, Glendale, NY 11385 | 2006-10-26 |
| 1700968377 | Thunderbird Podiatry | Podiatrist | 5620 W Thunderbird, G2, Glendale, AZ 85306 | 2006-10-20 |
| 1124112255 | Jeffrey Howard Stark | Podiatrist | 6216 Myrtle Ave, Glendale, NY 11385-6236 | 2006-10-03 |
| 1205937133 | Andrew C La | Podiatrist | 1510 S Central Ave #120, Glendale, CA 91204-2577 | 2006-09-25 |
| 1619076924 | George Nirvano Thompson Sr. | Podiatrist | 5757 West Thunderbird Road, Suite W203, Glendale, AZ 85306-4649 | 2006-09-22 |
| 1790713493 | Frank J Garofalo | Podiatrist | 1101 N Pacific Ave Ste 104, Glendale, CA 91202-4313 | 2006-06-29 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on JAY C LARSON.
| 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.