GARY L LARSON (NPI# 1578599304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578599304 |
| Entity Type | Individual |
| Full Name | GARY L LARSON |
| Credential | M.D. |
| Practice Address |
2525 Nw Expressway Suite 404 Oklahoma City OK 73112-7230 |
| Mailing Address |
Po Box 248856 Oklahoma City OK 73124-8856 |
| Practice Telephone | 4056074520 |
| Practice Fax Number | 4056074525 |
| Mailing Telephone | 4056074520 |
| Mailing Fax Number | 4056074525 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
13856 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100088460A | 05 | |
| RAILROAD MEDICARE | 300042703 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023260098 | Gary Lee Larson | Registered Nurse | Unit 45013, Usag-j, Box 3257, Apo, AP 96338-5013 | 2008-10-21 |
| 1972678969 | Gary Larson | Social Worker | 180 Grotto St S, Saint Paul, MN 55105-3505 | 2006-11-22 |
| 1497156426 | Gary Larson | Pharmacist | 2125 Nw Stewart Pkwy, Roseburg, OR 97471-1693 | 2014-09-09 |
| Street Address |
2525 NW EXPRESSWAY SUITE 404 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073582896 | Elaine K Nordhues | Radiology | 2525 Nw Expressway, Suite 404, Oklahoma City, OK 73112-7230 | 2006-03-15 |
| 1477099034 | Michaela Russell | Counselor | 2525 Nw Expressway, Oklahoma City, OK 73112 | 2017-01-06 |
| 1184089906 | Elaine Jones | Behavioral Analyst | 2525 Nw Expressway, 301c, Oklahoma City, OK 73112-7227 | 2015-12-21 |
| 1487019204 | Rebecca Houston | Community/Behavioral Health | 2525 Nw Expressway, 301c, Oklahoma City, OK 73112-7227 | 2015-12-21 |
| 1871984047 | Signolia Vaughn | Counselor | 2525 Nw Expressway, Suite 531, Oklahoma City, OK 73112-7227 | 2015-02-10 |
| 1922400902 | Ginger Decoteau | Social Worker | 2525 Nw Expressway, Suite 204, Oklahoma City, OK 73112-7227 | 2014-09-21 |
| 1003228271 | Building Up People | Community/Behavioral Health | 2525 Nw Expressway, 531, Oklahoma City, OK 73112 | 2014-05-22 |
| 1275979270 | Advance Counseling PC | Community/Behavioral Health | 2525 Nw Expressway, St: 301d, Oklahoma City, OK 73112-7227 | 2013-05-16 |
| 1407191075 | Jenny Ann Folsom | Social Worker | 2525 Nw Expressway, Advanced Therapy Associates Suite 624 A, Oklahoma City, OK 73112 | 2012-12-07 |
| 1154685865 | James Clark | Behavioral Analyst | 2525 Nw Expressway, Suite 624 A, Oklahoma City, OK 73112-7227 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821431370 | David John Olek Jr. | Radiology | 4401 Mcauley Blvd Ste 1500, Oklahoma City, OK 73120 | 2013-04-15 |
| 1215211537 | Michael Allen Sartin | Radiology | 3236 Rock Hollow Rd, Oklahoma City, OK 73120-1928 | 2011-10-05 |
| 1720254923 | Shripal Kantilal Bhavsar | Radiology | 5911 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2008-05-07 |
| 1588846521 | Sakuntala Dutta | Radiology | 4908 Wisteria Dr, Oklahoma City, OK 73142-1846 | 2007-12-01 |
| 1578502324 | Van Hoy Woo | Radiology | 3300 Nw 56th St Fl Ll100, Oklahoma City, OK 73112-4499 | 2006-06-06 |
| 1114964855 | Eugen B Hug | Radiology | 5901 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2006-06-01 |
| 1871552042 | Ozer Algan | Radiology | 800 Ne 10th St # L100, Oklahoma City, OK 73104 | 2006-03-17 |
| 1073582896 | Elaine K Nordhues | Radiology | 2525 Nw Expressway, Suite 404, Oklahoma City, OK 73112-7230 | 2006-03-15 |
| 1932109279 | Teresa G Craig | Radiology | 3300 Nw 56th St, Ste Ll100, Oklahoma City, OK 73112-4538 | 2005-07-28 |
| 1356348171 | Astrid Elizabeth Morrison | Radiology | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2005-07-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.