MICHAEL ODELL LARSON (NPI# 1417452376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417452376 |
| Entity Type | Individual |
| Full Name | MICHAEL ODELL LARSON |
| Credential | MD |
| Practice Address |
600 Gresham Dr Ste 1100 Norfolk VA 23507-1904 |
| Mailing Address |
8919 S 92nd East Pl Tulsa OK 74133-4455 |
| Practice Telephone | 7573886200 |
| Mailing Telephone | 8015498178 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015172 | Michael Larson | Optometrist | 8906 Bob White Dr, Houston, TX 77074-7528 | 2015-06-16 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1093711848 | Michael Joe Larson | Dentist | 30940 Stagecoach Blvd, Ste E250, Evergreen, CO 80439-7984 | 2005-06-27 |
| 1518960087 | Michael J Larson | Orthopaedic Surgery | 360 East Main, Rexburg, ID 83440 | 2005-05-27 |
| 1235730292 | Michael Larson | Pharmacist | 2000 Orchard Rd, Montgomery, IL 60538-1028 | 2020-11-05 |
| 1902411903 | Michael S Larson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-09-15 |
| 1104455294 | Michael Larson | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-04-02 |
| 1801424544 | Michael J Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1154829497 | Michael A Larson | Social Worker | 1212 E College Dr, Marshall, MN 56258-2010 | 2018-01-31 |
| 1174054670 | Michael Edward Larson | Radiology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-03-26 |
| Street Address |
600 GRESHAM DR STE 1100 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154391829 | Ashley Anders Schroeder | Otolaryngology | 600 Gresham Dr Ste 1100, Evms Medical Group, Norfolk, VA 23507-1904 | 2006-01-25 |
| 1942829098 | Mariah Margaret Servos | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2020-04-09 |
| 1801424817 | Mikayla Joy Huestis | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2020-03-27 |
| 1295362382 | Sara Amy Sun | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2020-03-26 |
| 1386206324 | Anna Eudora Louthan | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2019-06-30 |
| 1053871012 | Emily Elizabeth Wikner | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2019-03-24 |
| 1326508144 | Leah Elizabeth Sax | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2019-03-20 |
| 1720547763 | Jeffrey P Aldinger | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2019-03-19 |
| 1417443987 | Adrienne Grey | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507 | 2018-07-07 |
| 1417440744 | Nicole Wall Jones | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
| 1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
| 1417563867 | Kirstin C Barkley | Student in an Organized Health Care Education/Training Program | 4037 State Highway 310, Norfolk, NY 13667-3177 | 2020-09-21 |
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1528681939 | Breanna Jo Davis | Student in an Organized Health Care Education/Training Program | 5115 Hampton Boulevard, Norfolk, VA 23529-0001 | 2020-05-20 |
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1669092060 | Laura Shaw | Student in an Organized Health Care Education/Training Program | 696 Mowbray Arch Apt 720, Norfolk, VA 23507-1842 | 2020-04-26 |
| 1952920282 | Graham C Busse | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch # 106, Norfolk, VA 23507-2219 | 2020-04-16 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1639707045 | Alisabeth Anne Furnace | Student in an Organized Health Care Education/Training Program | 249 Brouse Rd, Norfolk, NY 13667-4203 | 2020-03-31 |
| Find all providers in NORFOLK | ||||
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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.