DR. KENNETH W. LARSON (NPI# 1689741795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689741795 |
| Entity Type | Individual |
| Full Name | DR. KENNETH W. LARSON |
| Credential | MD |
| Practice Address |
1900 S National Ave Suite 1950 Springfield MO 65804-2265 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178207250 |
| Practice Fax Number | 4178207255 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 105284 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
105284 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | TRICARE | 431560263 | 01 |
| MO | 207672502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952462384 | Kenneth G Larson | Optometrist | 4580 State St, Green Acres Plaza, Saginaw, MI 48603-3803 | 2006-12-12 |
| 1891806675 | Kenneth L. Larson | Psychologist | 1891 E Roseville Pkwy Ste 100, Roseville, CA 95661-7974 | 2006-08-31 |
| 1629051974 | Kenneth Duane Larson | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2005-11-21 |
| 1487168977 | Kenneth Dale Larson | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2017-11-21 |
| 1043379829 | Kenneth B Larson | Physician Assistant | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2006-12-07 |
| 1174691836 | Kenneth Craig Larson | Dentist | 2860 Piedmont Ave, Duluth, MN 55811-2938 | 2006-12-01 |
| 1659451441 | Kenneth Andrew Larson | Surgery | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 | 2006-10-16 |
| Street Address |
1900 S NATIONAL AVE SUITE 1950 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235192253 | Soubhagyalakshmi Parvathaneni | Internal Medicine | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2006-04-10 |
| 1710127642 | Bethany S. Palmer | Physician Assistant | 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | 2009-03-05 |
| 1093911240 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-06-25 |
| 1003959099 | Michael P. Smith-o'brien | Obstetrics & Gynecology | 1900 S National Ave, Suite 2970, Springfield, MO 65804-2265 | 2007-02-15 |
| 1912049396 | Wendy J Heilman | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| 1972645117 | Timothy O Pruett | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| 1942342654 | Robert F. Fraser II | Obstetrics & Gynecology | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-02-12 |
| 1407914468 | Robert L. Swords Jr. | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-04 |
| 1922176635 | Eric J. Fulnecky | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-01 |
| 1932277613 | William W. Sistrunk | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184114480 | New Jersey Bariatric Group, PC | Surgery | 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 | 2018-05-14 |
| 1174903488 | Samuel J Rheinhardt | Surgery | 701 N 1st St Ste D327, Springfield, IL 62702-3757 | 2015-06-02 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1881033926 | Frank A. Cornella Dds, Md PC | Surgery | 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 | 2013-06-21 |
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1780939462 | Daniel Caleb Persinger | Surgery | 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 | 2012-07-18 |
| 1154618775 | Alexandria Dailey Mcdow | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2011-07-04 |
| 1356655054 | Allison Melissa Key | Surgery | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2010-08-05 |
| 1679704761 | James P Buwen | Surgery | 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 | 2009-08-06 |
| 1386871069 | Lindsey Leigh Saint | Surgery | 315 W Carpenter St Fl 2, Springfield, IL 62702 | 2009-06-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. KENNETH W. 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.