DR. KATHLEEN LARSON (NPI# 1710366349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710366349 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN LARSON |
| Credential | M.D. |
| Practice Address |
4325 Williams Blvd Sw Cedar Rapids IA 52404 |
| Mailing Address |
4325 Williams Blvd Sw Cedar Rapids IA 52404-3436 |
| Practice Telephone | 3193688400 |
| Practice Fax Number | 3193688405 |
| Mailing Telephone | 3193688400 |
| Mailing Fax Number | 3193688405 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD-45075 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA MEDICAL LICENSE | MD-45075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225182769 | Kathleen Ann Larson | Social Worker | 1337 Camino Del Mar Ste B, Del Mar, CA 92014 | 2007-01-22 |
| 1679624720 | Kathleen Helen Larson | Specialist | 233 S 3rd Ave, Winneconne, WI 54986-9646 | 2007-01-16 |
| 1659571008 | Kathleen Marie Larson | Occupational Therapy Assistant | 1620 N 7th St, Rapid City, SD 57701-0511 | 2007-07-24 |
| 1740396647 | Kathleen A. Larson | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2006-08-22 |
| 1912987843 | Kathleen Larson | Physician Assistant | 437 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-18 |
| 1073598975 | Kathleen M Larson | Family Medicine | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-12-13 |
| Street Address |
4325 WILLIAMS BLVD SW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295967677 | Katherine Joanne Alatorre | Family Medicine | 4325 Williams Blvd Sw, Cedar Rapids, IA 52404-3436 | 2009-08-18 |
| 1578031951 | Mackenzie Behof | Social Worker | 4325 Williams Blvd Sw, Cedar Rapids, IA 52404-3436 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450896 | Scott K Nau | Pediatrics | 701 10th St Se # Level4, Cedar Rapids, IA 52403-1251 | 2006-01-06 |
| 1306823448 | Patrick M. O'grady | Pediatrics | 411 - 10th St Se, Suite 150, Cedar Rapids, IA 52403-2449 | 2005-12-29 |
| 1730186958 | Sharon A Collins | Pediatrics | 411 10th St Se, Suite 150, Cedar Rapids, IA 52403-2442 | 2005-07-01 |
| 1871599787 | Benjamin T Stevens | Pediatrics | 1026 A Avenue Ne, Suite 5000, Cedar Rapids, IA 52402-5036 | 2005-06-24 |
| 1760487854 | Pediatric Center, PC | Pediatrics | 411 10th Street Se, Suite 150, Cedar Rapids, IA 52403 | 2005-06-16 |
| 1104354216 | Haley Plath | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2017-06-02 |
| 1598216244 | Eastern Iowa Health Center | Pediatrics | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2016-10-18 |
| 1427445790 | Katheryn Paulsen | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402 | 2015-04-23 |
| 1114313913 | Nhan-ai Truong | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402 | 2015-04-09 |
| 1295149060 | Padget Elizabeth Smith Skogman | Pediatrics | 701 10th St Se # Level4, Cedar Rapids, IA 52403-1251 | 2014-06-19 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
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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.