MATTHEW CRAIG LARSON


Address: 1650 Cochrane Circle, 1cu Usa Meddac Evans Army Community Hospital, Fort Carson, CO 80913-4604
Phone: 7195267020

MATTHEW CRAIG LARSON (NPI# 1922147610) 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) 1922147610
Entity Type Individual
Full Name MATTHEW CRAIG LARSON
Practice Address 1650 Cochrane Circle
1cu Usa Meddac Evans Army Community Hospital
Fort Carson
CO 80913-4604
Mailing Address 1650 Cochrane Circle
Department of The Army Usa Meddac Evans Army Community
Fort Carson
CO 80913-4606
Practice Telephone 7195267020
Practice Fax Number 7195267635
Mailing Telephone 7195267649
Mailing Fax Number 7195267019
Enumeration Date 2007-02-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse 20219 NE Nursing Service Providers
Y 164W00000X Licensed Practical Nurse 44156 CO Nursing Service Providers

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1346703634 Matthew Daniel Larson Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd, Kansas City, KS 66160-8500 2019-04-12
1205315108 Matthew Larson Physical Therapist 433 Mendota Rd E, West St Paul, MN 55118-5104 2018-08-10
1316444615 Matthew Erick Larson Radiology 600 Highland Ave, Madison, WI 53792-0001 2018-04-12
1316352834 Matthew Larson Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2014-06-23
1982941027 Matthew Larson Social Worker 16 12th Ave S, Suite 201, Nampa, ID 83651-3936 2013-01-09
1922353739 Matthew W Larson Pharmacist 23 Slayton Ave, Spencerport, NY 14559-1427 2012-07-17
1609134675 Matthew Thor Larson Pharmacist 20 W Main St, Crosby, MN 56441-1422 2012-04-27

Office Location

Street Address 1650 COCHRANE CIRCLE
1CU USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
City FORT CARSON
State CO
Zip Code 80913-4604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114260940 Kelly Ping Kaim Dietitian, Registered 1650 Cochrane Circle, Meddac W2p1aa St A, Fort Carson, CO 80913 2013-03-29
1871849257 Liquori Lemont Etheridge Social Worker 1650 Cochrane Circle, Fort Carson Medical Center, Fort Carson, CO 80913-4604 2012-08-03
1992051270 Kadijatu Kakay Nurse Practitioner 1650 Cochrane Circle, Fort Carson, CO 80913 2012-07-24
1265795355 Eamon L Filan Pediatrics 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 2012-06-22
1972879880 Natasha J Pyzocha General Practice 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 2012-03-25
1841567047 Melissa Taylor Foss Pharmacist 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913-4604 2011-11-17
1386943900 Erin Mueller Occupational Therapist 1650 Cochrane Circle, Fort Carson, CO 80913-4603 2011-03-22
1720385305 Selena A. Bobula Physical Therapist 1650 Cochrane Circle, Fort Carson, CO 80913 2011-02-17
1447575634 Anne Marie Brtek Psychologist 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913-8761 2010-03-31
1598961757 Benjamin Lyman Jones Anesthesiology 1650 Cochrane Circle, Fort Carson, CO 80913 2007-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326651498 Christopher M Juneau Physical Therapist Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 2020-08-28
1003433640 Denise Marie Cacho Dentist Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 2020-06-30
1497378053 Ivan Sergeyevich Koutsopatriy Dentist Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 2020-05-18
1396293478 Kayla Howerton Audiologist 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 2016-09-16
1922472125 Danell Pugh Social Worker Bldg 1657, Fort Carson, CO 80913 2015-11-25
1750761136 Colin Michael Kenny Internal Medicine Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 2015-06-01
1740689736 Rachel Edwards Speech-Language Pathologist Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 2014-08-15
1841617859 Douglas Foote Social Worker 1657 Prussman, Ft. Carson, CO 80913 2014-03-27
1649619396 Brigette Marie Grimes Dietitian, Registered Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 2013-06-17
1467895318 Evans Army Community Hospital Clinic/Center Bldg 2361 Titus Blvd, Ft Carson, CO 80913 2013-04-10
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134169428 Floyd Dale Edwards Licensed Practical Nurse 1650 Cochrane Cirrcle, Usa Meddac / Evans Army Community Hospital, Fort Carson, CO 80913-4604 2006-06-07
1952341182 Michelle Rene Owens Licensed Practical Nurse General Surgery Clinic, Usa Meddac Evans Army Community Hospital, Fort Carson, CO 80913-4604 2006-06-07
1407836307 Suzanne Marie Seballoz Licensed Practical Nurse Usa Meddac, Evans Army Community Hospital, 1650 Cochrean Circle, Attn: Credentials Office, Fort Carson, CO 80913-4604 2006-01-18
1679536213 Debra Sue Mitchell Licensed Practical Nurse 1650 Cochrane Cir, Pediatric Clinic, Fort Carson, CO 80913-4603 2006-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1699336354 Sally J Daigle Licensed Practical Nurse 3811 S Julian St, Denver, CO 80236-6103 2019-06-24
1083273528 Kyandra Ogunlowo Licensed Practical Nurse 6466 N Espana Ct, Aurora, CO 80019-2169 2019-06-09
1194388827 Kelly Fitzharris Licensed Practical Nurse 9777 S Yosemite St Ste 200, Lone Tree, CO 80124-3115 2019-04-18
1558824961 Whitney Lynn Frisch Licensed Practical Nurse 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 2019-04-11
1134687676 Mary Lou Montez Licensed Practical Nurse 3501 S. Main St., Lamar, CO 81052 2019-03-04
1356810550 Roy Jackson Baker Licensed Practical Nurse 521 Rowe Ln, Colorado Springs, CO 80911-2624 2018-11-16
1649749847 Rachel Woodin Licensed Practical Nurse 5360 N Academy Blvd Ste 190, Colorado Springs, CO 80918-4006 2018-11-16
1396214607 Ana M. Sandoval Licensed Practical Nurse 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 2018-11-15
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Competitor

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City FORT CARSON
Zip Code 80913

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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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