ANDREW LARSEN (NPI# 1922238344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922238344 |
| Entity Type | Individual |
| Full Name | ANDREW LARSEN |
| Credential | M.D. |
| Practice Address |
201 Tahoma Blvd Suite 102 Yelm WA 98597-7735 |
| Practice Telephone | 3604587761 |
| Mailing Telephone | 3604587761 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60243919 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 294718 | 01 |
| WA | 1922238344 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033387519 | Andrew Craig Larsen | Massage Therapist | 870 W Market St, Ste. 69, Tiffin, OH 44883-2567 | 2008-02-18 |
| 1720590383 | Andrew John Larsen | Social Worker | 237 26th St, Ogden, UT 84401 | 2017-11-03 |
| 1669841920 | Andrew Larsen | Physician Assistant | 123 Everett Rd, Albany, NY 12205 | 2015-09-16 |
| Street Address |
201 TAHOMA BLVD SUITE 102 |
| City | YELM |
| State | WA |
| Zip Code | 98597-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283472 | Cheri M Dorhauer | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2006-05-18 |
| 1760925416 | Nelson Daniel Rojas Mieres | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2016-11-29 |
| 1215479209 | Kaela Pivnick | Dietitian, Registered | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2016-11-08 |
| 1861845232 | Tanya Brandt | Physical Therapy Assistant | 201 Tahoma Blvd, Suite 207, Yelm, WA 98597-7735 | 2016-07-20 |
| 1639536931 | Kathryn Dewitt | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2016-01-19 |
| 1992103774 | Fasa Family Wellness Pllc | Family Medicine | 201 Tahoma Blvd, Suite 208, Yelm, WA 98597-7735 | 2014-12-10 |
| 1083043459 | Caitlyn Long | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2013-11-06 |
| 1073941571 | Kyle J. Sisler | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2013-10-18 |
| 1720333081 | Laura Beth Behymer | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2012-07-23 |
| 1952681231 | Foot and Ankle Surgical Associates Inc Ps | Podiatrist | 201 Tahoma Blvd, Suite 208, Yelm, WA 98597-7735 | 2011-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
| 1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
| 1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
| 1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
| 1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
| 1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
| 1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
| 1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
| 1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
| 1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
| Find all providers in zip 98597 | ||||
| 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 |
|---|---|---|---|---|
| 1821402298 | Chelsea Dawn Unruh | Family Medicine | 201 Tahoma Blvd Unit 102, Yelm, WA 98597-7735 | 2014-06-13 |
| 1902850803 | Kirk Dawson | Family Medicine | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2006-05-22 |
| 1245283472 | Cheri M Dorhauer | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2006-05-18 |
| 1992103774 | Fasa Family Wellness Pllc | Family Medicine | 201 Tahoma Blvd, Suite 208, Yelm, WA 98597-7735 | 2014-12-10 |
| 1144643479 | Sea-mar Community Health Center | Family Medicine | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2014-01-22 |
| 1467683920 | Cynthia Anne Wilson | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2009-08-01 |
| 1821240904 | Bethany M Sweet | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2008-10-21 |
| 1679736318 | Jessica Marie Van Fleet-green | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2008-07-02 |
| 1932226818 | Robyn K Davies | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2007-03-23 |
| 1053364950 | Yelm Family Medicine, Pllc | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2006-05-19 |
| Find all providers in YELM | ||||
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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.