DR. TIMOTHY RAYMOND LARSEN (NPI# 1477845337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477845337 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY RAYMOND LARSEN |
| Credential | D.O. |
| Practice Address |
1725 W Harrison St Ste 1159 Chicago IL 60612 |
| Mailing Address |
1725 W Harrison St Ste 1159 Chicago IL 60612-3883 |
| Practice Telephone | 3129425020 |
| Mailing Telephone | 3129425020 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-149085 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036-149085 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770926032 | Timothy Pinetree Larsen | Nurse Practitioner | 3434 Hancock Bridge Pkwy Ste 309, North Fort Myers, FL 33903-7099 | 2013-04-16 |
| 1306070222 | Timothy Christian Larsen | Pediatrics | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2009-05-06 |
| 1760417760 | Timothy C Larsen | Anesthesiology | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-07-11 |
| 1942245576 | Timothy J Larsen | Emergency Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-06-18 |
| 1881691079 | Timothy George Larsen | Pharmacist | 106 1st St S, Yelm, WA 98597-7700 | 2005-07-01 |
| Street Address |
1725 W HARRISON ST STE 1159 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972760718 | Steve Attanasio | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612 | 2008-05-20 |
| 1437707247 | Aryelle Leah Schicht | Nurse Practitioner | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2019-08-27 |
| 1558717363 | Michael P. Dunleavy | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2016-05-11 |
| 1912325366 | Devin Loewenstein | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2014-04-02 |
| 1467879809 | Daniel Luger | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2014-03-24 |
| 1316213234 | Brian Christopher Clark | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2012-03-26 |
| 1093044471 | Monique Colbert | Nurse Practitioner | 1725 W Harrison St Ste 1159, Chicago, IL 60612 | 2009-12-15 |
| 1871736413 | Tisha Marie Borromeo Suboc | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2009-04-13 |
| 1992962450 | Hussam Suradi | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612-3883 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
| 1356792857 | Kelvin Chi Ming Chua | Internal Medicine | 5841 S Maryland Ave, Mc 6080, Chicago, IL 60637-1447 | 2016-06-26 |
| 1124434683 | Varun R Garg | Internal Medicine | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | 2014-07-05 |
| 1710305826 | Ryan Jonathan William Burris | Internal Medicine | 5841 S. Maryland Ave, Mail Code: 6080, Chicago, IL 60637-1443 | 2014-04-04 |
| 1487951711 | Advocate Health and Hospitals Corp. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2011-02-23 |
| 1104058379 | Kristin S Duque | Internal Medicine | 2233 W Division St, 2nd Floor Cardiology Department, Chicago, IL 60622-8151 | 2009-08-20 |
| Find all providers in CHICAGO | ||||
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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.