DR. MARK THOMAS LARSON


Address: 914 S Scheuber Rd, Centralia, WA 98531-9027
Phone: 3603308785

DR. MARK THOMAS LARSON (NPI# 1497973416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497973416
Entity Type Individual
Full Name DR. MARK THOMAS LARSON
Credential M.D.
Practice Address 914 S Scheuber Rd
Centralia
WA 98531-9027
Mailing Address 6229 Swayne Drive Ne
Olympia
WA 98516
Practice Telephone 3603308785
Practice Fax Number 3603308784
Mailing Telephone 3604382865
Mailing Fax Number 3603308684
Enumeration Date 2007-04-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PH0002X Emergency Medicine
Specialization: Hospice and Palliative Medicine
MD00031468 WA Allopathic & Osteopathic Physicians

Other Providers MARK LARSON

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1538524905 Mark Larson Dentist 5441 Saint Marys Cir, Westminster, CA 92683-3416 2015-12-29
1265876056 Mark Wayne Larson Massage Therapist 10093 Sunny Ln, Ooltewah, TN 37363-8487 2013-04-23
1821310285 Mark Larson Pharmacist 10 Westwood Cir, Minnetonka, MN 55305-1588 2010-02-25
1770644767 Mark Duane Larson Plastic Surgery 755 N 11th St Ste P1000, Beaumont, TX 77702-1528 2006-12-13
1376553503 Mark Douglas Larson Counselor 605 East Boulevard, Methodist Counseling & Consultation Services, Charlotte, NC 28203-5111 2006-08-09
1124088208 Mark R. Larson Psychologist 130 Allens Creek Rd, Rochester, NY 14618-3305 2006-03-24
1669452678 Mark P Larson Dentist 278 Star Hill Dr, Cape Carteret, NC 28584-8933 2006-01-18
1831651868 Mark Daniel Larson Student in an Organized Health Care Education/Training Program 5000 W Chambers St, Milwaukee, WI 53210-1650 2019-03-31
1942789318 Mark Larson Nurse Practitioner 2373 Augusta Hwy, Lexington, SC 29072-2213 2018-08-07
1194784090 Mark W Larson Specialist 716 E Manitoba Ave, Ellensburg, WA 98926-3842 2006-03-20

Office Location

Street Address 914 S SCHEUBER RD
City CENTRALIA
State WA
Zip Code 98531-9027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982600805 Leena Carriere Anesthesiology 914 S Scheuber Rd, Pmg Sw Wa Centralia Anesthesiology, Centralia, WA 98531-9027 2005-06-24
1114542065 Gary John Clinton Mersereau Sr. Registered Nurse 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-06-16
1366077745 Andrew J Maasdam Nurse Anesthetist, Certified Registered 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-03-06
1447884374 Michelle Stover Registered Nurse 914 S Scheuber Rd, Centralia, WA 98531-9027 2020-02-29
1932748993 Erika Anne Laurentz Counselor 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-12-22
1952942567 Ashley Marie Wheeler Emergency Medicine 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-10-04
1619537057 Rebecca Kathryn Mcneil Counselor 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-06-18
1982269395 Jennifer Green Physician Assistant 914 S Scheuber Rd, Centralia, WA 98531-9027 2019-05-01
1033698519 Jennifer Ann Reuter Physician Assistant 914 S Scheuber Rd, Centralia, WA 98531 2018-08-07
1629554274 Rachelle Marie Peterson Occupational Therapist 914 S Scheuber Rd, Centralia, WA 98531-9027 2018-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306462205 Jelisa Renae Thomas Counselor 3510 Steelhammer Ln, Centralia, WA 98531 2020-06-17
1205498607 Jennifer Kristine Mcglynn Paterno Counselor 2428 W. Reynods Ave, Centralia, WA 98531 2019-07-05
1538646328 Adam Jeffrey Moore Counselor 3510 Steelhammer Lane, Centralia, WA 98531 2018-07-24
1144706698 Euijeong Kim Occupational Therapist Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 2018-07-18
1104315266 Margaret Fowler Floyd Registered Nurse Centralia High School, 813 Eshom Road, Centralia, WA 98531 2018-05-04
1124545777 Samantha Michelle Moody Speech-Language Pathologist Centralia School District, 2320 Borst Ave, Centralia, WA 98531 2017-08-24
1821520289 Alexa Franks Behavior Technician 2428 West Reynolds Ave., Centralia, WA 98531 2017-04-03
1023559861 Brandy Michelle Peterson Counselor 135 W. Main Steet, Centralia, WA 98531 2017-03-13
1841738812 Graceful Healing Naturopathic Naturopath 219 N Tower Ave, Suite 304, Centralia, WA 98531 2017-02-09
1043681513 Angela Naillon Counselor 2428 West Reynolds, Centralia, WA 98531 2015-10-09
Find all providers in zip 98531

Taxonomy Information

Taxonomy Code 207PH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225249477 Ricardo Rodolfo Gutierrez Emergency Medicine 5514 35th St Nw, Gig Harbor, WA 98335-7633 2007-05-26
1447476056 Kenneth Hunt Coleman Emergency Medicine 1012 S 3rd St, Dayton, WA 99328-1606 2007-04-18

Competitor

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City CENTRALIA
Zip Code 98531

Improve Information

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Dataset Information

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.

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