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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043534878 | Matthew Golden Larson | Chiropractor | 9316 Carnation Duvall Rd Ne, Carnation, WA 98014-6706 | 2010-03-23 |
1417113648 | Matthew J Larson | Driver | 2112 Hoffman Rd, Mankato, MN 56001-5829 | 2008-08-07 |
1326002437 | Matthew G. Larson | Social Worker | 24 S 600 E, Ste. 6, Slc, UT 84102 | 2006-04-14 |
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 |
Street Address |
1650 COCHRANE CIRCLE 1CU USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL |
City | FORT CARSON |
State | CO |
Zip Code | 80913-4604 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 80913 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
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. |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932741816 | Conny Jones | Licensed Practical Nurse | 4519 Fencer Rd, Colorado Springs, CO 80911-3619 | 2019-10-12 |
1851941009 | Debra Fritts | Licensed Practical Nurse | 5700 Dtc Pkwy Ste 170, Greenwood Village, CO 80111-3226 | 2019-09-18 |
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 |
Find all providers with the same taxonomy |
City | FORT CARSON |
Zip Code | 80913 |
Please comment or provide details below to improve the information on MATTHEW CRAIG 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.