DR. WAYNE LARSON (NPI# 1679792881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679792881 |
| Entity Type | Individual |
| Full Name | DR. WAYNE LARSON |
| Credential | M.D, |
| Practice Address |
6210 75th St W Suite A-200 Lakewood WA 98499-8303 |
| Mailing Address |
7514 66th Ave W Lakewood WA 98499-8161 |
| Practice Telephone | 2535812261 |
| Practice Fax Number | 2535827310 |
| Mailing Telephone | 2535889839 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00016569 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770960544 | Wayne Larson | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2015-04-30 |
| Street Address |
6210 75TH ST W SUITE A-200 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336211622 | Jolene O'connell | Massage Therapist | 6210 75th St W, Suite A100, Lakewood, WA 98499-8303 | 2006-11-14 |
| 1598308629 | Lauren Elizabeth Goncharoff-nickle | Behavioral Analyst | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-10-22 |
| 1649829383 | Shannon Smith | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-09-05 |
| 1225686389 | Renee Nicole Becton | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-08-30 |
| 1306306345 | Angela M Roth | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-03-25 |
| 1053885236 | Ojas Abhijit Deshpande | Behavioral Analyst | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-01-21 |
| 1245704154 | Brittany Lauren Ward | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2019-01-14 |
| 1518459213 | Alexandra Jordan Farren | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-05-30 |
| 1487155016 | Sherrie Lynn Smith | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-02-28 |
| 1194233734 | Sarah Elizabeth Hill | Behavior Technician | 6210 75th St W, Lakewood, WA 98499-8303 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531522 | Scl Health Medical Group - Denver, LLC | Family Medicine | 1726 Cole Blvd Ste 350, Lakewood, CO 80401-3213 | 2020-09-02 |
| 1952913774 | Scl Health Medical Group - Denver, LLC | Family Medicine | 325 S Teller St Ste 250, Lakewood, CO 80226-7429 | 2020-08-21 |
| 1356860803 | Front Range Clinic Inc. | Family Medicine | 1410 Vance St Ste 201, Lakewood, CO 80214-5435 | 2017-09-15 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1083148324 | Stephanie Baker | Family Medicine | 255 S Routt St, Lakewood, CO 80228-2271 | 2017-04-13 |
| 1043766413 | Paladina Health, LLC | Family Medicine | 3701 Michelson St, Lakewood, CA 90712-1402 | 2016-08-26 |
| 1245686674 | Gary James Cantrell Jr. | Family Medicine | 12105 W Alameda Pkwy Ste 100, Lakewood, CO 80228-2832 | 2016-05-04 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1194145656 | Mile High Wound and Hyperbaric Medicine Pllc | Family Medicine | 12065 W Auburn Dr, Lakewood, CO 80228-4765 | 2014-04-23 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on DR. WAYNE 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.